Active NPI
Kevin Suk Jae Lee, M.D.
- Anesthesiology Physician
- Troy, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 243169
- Practice address
- 2215 Burdett Ave
Troy, NY 12180-2475 - Phone
- (518) 525-8600
- NPI assigned
- Nov 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 243169 | NY | Primary |
Addresses
Primary practice location
2215 Burdett Ave
Troy, NY 12180-2475
Mailing address
103 Sandy Pines Blvd
Hopewell Junction, NY 12533-8214
Phone (917) 837-7747
Other practice location 1
525 E 68th St
New York, NY 10065-4870
Phone (212) 746-2959
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Pennsylvania State University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 737-9000
243 N Rd
Poughkeepsie, NY 12601-1173
955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243169 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Physician Health, P.C. | Anesthesiology | Current | Accepting new patients |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Premier Medical Group of the Hudson Valley P.C. | Current | Accepting new patients | |
| Hudson Health Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Premier Medical Group of the Hudson Valley, P.C. | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
6 Front St
Newburgh, NY 12550
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
21 Reade Pl
Ste 2200
Poughkeepsie, NY 12601
Phone (845) 483-0698
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
355 Kear St
Yorktown Hts, NY 10598
Phone (914) 962-5060
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- klee@premiermedicalhv.medentdirect.com
- klee1892840@direct.trinity-health.org
- klee94573@albanymed.direct-ci.com
- kel9023@direct.nyp.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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Cortlandt Manor, NY
- NPI 1619633898
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1659525244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SANDY PINES BLVD",
"city": "HOPEWELL JUNCTION",
"state": "NY",
"postal_code": "125338214",
"telephone_number": "917-837-7747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 BURDETT AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121802475",
"telephone_number": "518-525-8600"
}
],
"practiceLocations": [
{
"address_1": "525 E 68th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-2959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "KEVIN",
"middle_name": "SUK JAE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-09",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "243169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.