Individual provider Active NPI

Kevin Suk Jae Lee, M.D.

  • Anesthesiology Physician
  • Troy, NY
National Provider Identifier
1659525244
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
243169 Issued in NY
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

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000861 NY Practitioner - Anesthesiology 6709910490 Reassigns benefits to 4 organizations

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
Hudson Health Anesthesia PLLCGroup PAC ID 1052702883, 49 clinicians

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

LicenseStateTypeSpecialty
243169NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Physician Health, P.C. Anesthesiology CurrentSince Jul 19, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 31, 2020 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Oct 3, 2022 Accepting new patients
Hudson Health Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 31, 2020 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jul 12, 2010 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Oct 3, 2022 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

  • Direct secure messaging: klee@premiermedicalhv.medentdirect.com
  • Direct secure messaging: klee1892840@direct.trinity-health.org
  • Direct secure messaging: klee94573@albanymed.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.