Active NPI
Mikyung Lee, M.D.
- Infectious Disease Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 83394-20
- Practice address
- 600 Highland Ave
Madison, WI 53792-5204 - Phone
- (608) 263-0946
- NPI assigned
- Nov 8, 2006
- Last updated
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NWH TAX ID | Other | POMCO PROVIDER # | |
| P003676971 | Other | RAILROAD MEDICARE PIN# | |
| 396943 | Other | MVP HEALTHPLAN | |
| NWH TAX ID | Other | PHCS-PROVIDER ID | |
| 1423323 | Other | AETNA HMO | |
| 31967773 | Other | CIGNA HEALTH CARE | |
| 000000114410 | Other | GHI - HMO | |
| NWH TAX ID | Other | CHN SOLUTIONS -GRP PIN # | |
| 0140665 | Other | GHI PPO PROVIDER ID | |
| 07020900104 | Other | FIDELIS CARE OF NY | |
| 7988846 | Other | AETNA PROVIDER ID PPO | |
| NWH TAX ID | Other | BEECH STREET PROVIDER ID | |
| NWH TAX ID | Other | DEVON HEALTH GRP PIN# | |
| 10119993-U104 | Other | CDPHP PROVIDER # &GRP # | |
| 450AP1 | Other | EMPIRE BC-BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 229632 | NY | MD | Internal Medicine Physician |
| 83394-20 | WI | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
dba Orthopedic Department of Mount Sinai
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1124550280
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
dba Medicine Department of Mount Sinai
- Infectious Disease Physician
- New York, NY
- NPI 1659639524
Internal Medicine
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Durable Medical Equipment & Medical Supplies
- Cross Plains, WI
- NPI 1174583363
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UnityPoint Health - Meriter Therapies
- Rehabilitation Clinic/Center
- Madison, WI
- NPI 1073672556
Hospital
-
dba UnityPoint Health - Meriter
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
dba University of Wisconsin Hospital and Clinics
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.