Individual provider Active NPI

Kyung R Lee, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1609965532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A49227 Issued in CA
Practice address
1333 Bush St
San Francisco, CA 94109-5611
Phone
(415) 292-8888
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A49227 CA Primary

Addresses

Primary practice location

1333 Bush St
San Francisco, CA 94109-5611

Mailing address

2555 Ocean Ave Ste 204
San Francisco, CA 94132-1645
Phone (415) 406-1333

Other identifiers 1

IdentifierTypeStateIssuer
A49227OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000098 CA Practitioner - Internal Medicine 9436216017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49227CAMDGeneral Practice Dentistry
A49227CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Jan 1, 2008 Accepting new patients
UCSF Health Community Hospitals CurrentSince Jan 1, 2008 Accepting new patients
Kyung R. Lee, MD & Kesook Lee, MD Past Accepting new patients

Locations

2235 Hayes St
Fl 5
San Francisco, CA 94117
Phone (415) 750-5500

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609965532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 OCEAN AVE STE 204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321645",
            "telephone_number": "415-406-1333",
            "fax_number": "415-406-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095611",
            "telephone_number": "415-292-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYUNG",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A49227",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.