Individual provider Active NPI

Mark Tsu Chong Lee, M.D.

  • Orthopaedic Surgery Physician
  • Hartford, CT
National Provider Identifier
1598717779
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
046855 Issued in CT
Practice address
282 Washington St
Suite 1H, Department of Orthopaedics
Hartford, CT 06106-3322
Phone
(860) 545-8643
Fax
(860) 545-9095
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 046855 CT
Orthopaedic Surgery Physician 207X00000X 046855 CT Primary

Addresses

Primary practice location

282 Washington St
Suite 1H, Department of Orthopaedics
Hartford, CT 06106-3322

Mailing address

282 Washington St
Suite 1H, Department of Orthopaedics
Hartford, CT 06106-3322
Phone (860) 545-8643

Other identifiers 1

IdentifierTypeStateIssuer
050447454OtherCORPORATE FEDERAL ID #

Other names 1

  • Tsu Chong Lee Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlee2879@connecticutchildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000311 CT Practitioner - Orthopedic Surgery 6103820725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Children'S Specialty Group, IncGroup PAC ID 6002720117, 144 clinicians

Practice addresses (Care Compare)

282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000

310 Western Blvd
Glastonbury, CT 06033-1236
Phone (860) 545-9000

399 Farmington Ave
FL 3
Farmington, CT 06032-1936
Phone (860) 284-0236

Hospital & facility affiliations

  • Connecticut Childrens Medical Center Hospital, Hartford, CT, CCN 073300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046855CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Orthopaedic Surgery CurrentSince Jul 24, 2011 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Orthopaedic Surgery CurrentSince Jul 24, 2011 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Nov 1, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Nov 1, 2018 Accepting new patients
Connecticut Children'S Medical Center Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

105 Newtown Rd
#A
Danbury, CT 06810
Phone (860) 545-9395

60 Hartland St
East Hartford, CT 06108

399 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 284-0220

310 Western Blvd
Glastonbury, CT 06033
Phone (860) 837-9877

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

282 Washington St
Ste 1A
Hartford, CT 06106

1000 Asylum Ave
Ste 4307
Hartford, CT 06105
Phone (860) 278-3812

31 Seymour St
Fl 4
Hartford, CT 06106

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Ste 1H
Hartford, CT 06106
Phone (860) 545-8643

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1598717779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST",
            "address_2": "SUITE 1H, DEPARTMENT OF ORTHOPAEDICS",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322",
            "telephone_number": "860-545-8643",
            "fax_number": "860-545-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST",
            "address_2": "SUITE 1H, DEPARTMENT OF ORTHOPAEDICS",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322",
            "telephone_number": "860-545-8643",
            "fax_number": "860-545-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARK",
        "middle_name": "TSU CHONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CT",
            "license": "046855",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "046855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE FEDERAL ID #",
            "identifier": "050447454",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlee2879@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "282 Washington St",
            "address_2": "Suite 1H, Department of Orthopaedics",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061063322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TSU",
            "last_name": "LEE",
            "middle_name": "CHONG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.