Active NPI
Jae Young Lee, MD
- Diagnostic Ultrasound Physician
- Iowa City, IA
National Provider Identifier
1669580478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- SP181
- Practice address
- 200 Hawkins Drive
University of Iowa Hospitals and Clinics
Iowa City, IA 52242 - Phone
- (319) 356-3375
- Fax
- (319) 356-2220
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | SP181 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | SP181 | IA | |
| Diagnostic Ultrasound Physician | 2085U0001X | SP181 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Drive
University of Iowa Hospitals and Clinics
Iowa City, IA 52242
Mailing address
200 Hawkins Drive
University of Iowa Hospitals and Clinics
Iowa City, IA 52242
Phone (319) 356-3375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0729459 | Medicaid | IA | |
| 20606 | Other | IA | WELLMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP181 | IA | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1669580478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE",
"address_2": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-3375",
"fax_number": "319-356-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE",
"address_2": "UNIVERSITY OF IOWA HOSPITALS AND CLINICS",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-3375",
"fax_number": "319-356-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JAE YOUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IA",
"license": "SP181",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "SP181",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IA",
"license": "SP181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0729459",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "20606",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.