Individual provider Active NPI

Karen T Lee, M.D

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1629124045
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
242926 Issued in NY
Practice address
8324 Cornish Ave
Elmhurst, NY 11373-3794
Phone
(718) 424-0770
Fax
(718) 424-2590
NPI assigned
Jan 26, 2007
Last updated
May 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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 242926 NY Primary

Addresses

Primary practice location

8324 Cornish Ave
Elmhurst, NY 11373-3794

Mailing address

8324 Cornish Ave
Elmhurst, NY 11373-3794
Phone (718) 424-0770

Other identifiers 15

IdentifierTypeStateIssuer
1000049664OtherNYAFFINITY
6533075OtherNYCIGNA
P3871911OtherNYOXFORD
02903226MedicaidNY
242926-A39OtherNYHEALTHFIRST
398900POtherNYHIP
6C3272OtherNYHEALTHNET
002800132002OtherNYUHC COMMUNITY PLAN
193029OtherNYELDER PLAN
1011674POtherNYEMBLEM HEALTH
24292601OtherNYNEIGHBORHOOD
3680S1OtherNYEMPIRE BC/BS
071128000030OtherNYFIDELIS
100280013201OtherNYAMERICHOICE
537920101OtherNYHEALTHPLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080919000527 NY Practitioner - Internal Medicine 5193892990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8324 Cornish Ave
Elmhurst, NY 11373-3754
Phone (718) 424-0770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242926NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Quality Medical PC Internal Medicine CurrentSince Apr 16, 2012 Accepting new patients
John Hon DO PC Internal Medicine PastSince Apr 16, 2012 Accepting new patients
Advanced Quality Medical PC Internal Medicine Past Accepting new patients

Locations

8608 Elmhurst Ave
Flushing, NY 11373
Phone (718) 204-1469

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1629124045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 CORNISH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733794",
            "telephone_number": "718-424-0770",
            "fax_number": "718-424-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 CORNISH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733794",
            "telephone_number": "718-424-0770",
            "fax_number": "718-424-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KAREN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "1000049664",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6533075",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3871911",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02903226",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "242926-A39",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "398900P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "6C3272",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC COMMUNITY PLAN",
            "identifier": "002800132002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER PLAN",
            "identifier": "193029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLEM HEALTH",
            "identifier": "1011674P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "24292601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "3680S1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "071128000030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "100280013201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "537920101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.