Individual provider Active NPI

Kyung Hyun Lee, DO

  • Neurology Physician
  • Las Vegas, NV
National Provider Identifier
1679100739
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO3980 Issued in NV
Practice address
3201 S Maryland Pkwy Ste 318
Las Vegas, NV 89109-2425
Phone
(702) 707-6960
Fax
(702) 707-6956
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X DO3980 NV
Neurology Physician 2084N0400X DO3980 NV Primary

Addresses

Primary practice location

3201 S Maryland Pkwy Ste 318
Las Vegas, NV 89109-2425

Mailing address

PO Box 29650
Dept # 880504
Phoenix, AZ 85038-9650
Phone (702) 707-6960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20251025000614 NV Practitioner - Neurology 7416372693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Touro Un Col of Osteopathic Medicine, New York, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Neurology Las Vegas LLCGroup PAC ID 1355736646, 9 clinicians

Practice addresses (Care Compare)

3201 S Maryland Pkwy
Suite 318
Las Vegas, NV 89109-2425
Phone (702) 707-6960

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3980NVMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Neurology Las Vegas LLC Vascular Neurology CurrentSince Nov 1, 2025 Accepting new patients

Locations

3201 S Maryland Pkwy
Ste 318
Las Vegas, NV 89109
Phone (702) 629-7490

3196 S Maryland Pkwy
Ste 405
Las Vegas, NV 89109
Phone (702) 707-6960

Organizations & group practices 1

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 4

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1679100739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29650",
            "address_2": "DEPT # 880504",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "702-707-6960",
            "fax_number": "702-707-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MARYLAND PKWY STE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092425",
            "telephone_number": "702-707-6960",
            "fax_number": "702-707-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYUNG HYUN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NV",
            "license": "DO3980",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "DO3980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.