Individual provider Active NPI

Mikyung Lee, M.D.

  • Infectious Disease Physician
  • Madison, WI
National Provider Identifier
1538239819
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
83394-20 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-5204
Phone
(608) 263-0946
NPI assigned
Nov 8, 2006
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229632 NY
Infectious Disease Physician 207RI0200X 83394-20 WI Primary
Infectious Disease Physician 207RI0200X 229632 NY

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-5204

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

17 E 102nd St
New York, NY 10029-5204
Phone (212) 241-7968

Other practice location 2

1 Gustave L Levy Pl
New York, NY 10029-6500
Phone (212) 241-2950

Other identifiers 15

IdentifierTypeStateIssuer
NWH TAX IDOtherPOMCO PROVIDER #
P003676971OtherRAILROAD MEDICARE PIN#
396943OtherMVP HEALTHPLAN
NWH TAX IDOtherPHCS-PROVIDER ID
1423323OtherAETNA HMO
31967773OtherCIGNA HEALTH CARE
000000114410OtherGHI - HMO
NWH TAX IDOtherCHN SOLUTIONS -GRP PIN #
0140665OtherGHI PPO PROVIDER ID
07020900104OtherFIDELIS CARE OF NY
7988846OtherAETNA PROVIDER ID PPO
NWH TAX IDOtherBEECH STREET PROVIDER ID
NWH TAX IDOtherDEVON HEALTH GRP PIN#
10119993-U104OtherCDPHP PROVIDER # &GRP #
450AP1OtherEMPIRE BC-BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070124000087 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 3476554189 Reassigns benefits to 1 organization
I20240424001275 WI Practitioner - Infectious Disease 3476554189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Wisconsin School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
229632NYMDInternal Medicine Physician
83394-20WIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 1, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: mlee1061541@direct.unitypoint.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1538239819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537925204",
            "telephone_number": "608-263-0946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 E 102nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100295204",
            "country_code": "US",
            "telephone_number": "212-241-7968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-241-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MIKYUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229632",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "83394-20",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "229632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO PROVIDER #",
            "identifier": "NWH TAX ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE  PIN#",
            "identifier": "P003676971",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHPLAN",
            "identifier": "396943",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS-PROVIDER ID",
            "identifier": "NWH TAX ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1423323",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "31967773",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI - HMO",
            "identifier": "000000114410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHN SOLUTIONS -GRP PIN #",
            "identifier": "NWH TAX ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO PROVIDER ID",
            "identifier": "0140665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE OF NY",
            "identifier": "07020900104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID PPO",
            "identifier": "7988846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET PROVIDER ID",
            "identifier": "NWH TAX ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON HEALTH GRP PIN#",
            "identifier": "NWH TAX ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PROVIDER # &GRP #",
            "identifier": "10119993-U104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC-BS",
            "identifier": "450AP1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.