Individual provider Active NPI

Sung W Lee, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Takoma Park, MD
National Provider Identifier
1679535983
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
D37960 Issued in MD
Practice address
7610 Carroll Ave
Suite 280
Takoma Park, MD 20912
Phone
(301) 891-6574
Fax
(301) 891-6222
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0037960 MD
Clinical Cardiac Electrophysiology Physician 207RC0001X D37960 MD Primary

Addresses

Primary practice location

7610 Carroll Ave
Suite 280
Takoma Park, MD 20912

Mailing address

7610 Carroll Ave
Suite 280
Takoma Park, MD 20912
Phone (301) 891-6574

Other identifiers 5

IdentifierTypeStateIssuer
H830OtherMDBCBS OF MD GROUP NUMBER
0015OtherDCBCBS OF DC INDIVIDUAL #
53533702OtherMDBCBS OF MD INDIVIDUAL #
4787OtherDCBCBS OF DC GROUP NUMBER
883460101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040223000677 DC Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7810883493 Reassigns benefits to 2 organizations
I20081106000787 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7810883493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Virginia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-2851

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

1733 Howell Rd
Hagerstown, MD 21740-6638
Phone (703) 208-7257

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

7501 Surratts Rd
Clinton, MD 20735-3362
Phone (301) 877-7353

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Hospital & facility affiliations

  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028
  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2021 Accepting new patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Sep 1, 2013 Accepting new patients
Adventist Healthcare, Inc. Cardiovascular Disease Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Physician Services, Inc. Past Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7501 Surratts Rd
Clinton, MD 20735
Phone (301) 877-4599

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

7501 Surratts Rd
Ste 304
Clinton, MD 20735
Phone (301) 868-8000

7501 Surratts Rd
Ste 306
Clinton, MD 20735
Phone (301) 877-5677

7501 Surratts Rd
Ste 208A
Clinton, MD 20735
Phone (301) 877-4674

163 Thomas Johnson Dr
Ste E
Frederick, MD 21702
Phone (410) 751-8800

110 Thomas Johnson Dr
Frederick, MD 21702
Phone (202) 877-7685

1733 Howell Rd
Hagerstown, MD 21740
Phone (301) 797-2525

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

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 5

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1679535983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "SUITE 280",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "301-891-6574",
            "fax_number": "301-891-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "SUITE 280",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "301-891-6574",
            "fax_number": "301-891-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUNG",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0037960",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MD",
            "license": "D37960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD GROUP NUMBER",
            "identifier": "H830",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC INDIVIDUAL #",
            "identifier": "0015",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD INDIVIDUAL #",
            "identifier": "53533702",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC GROUP NUMBER",
            "identifier": "4787",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883460101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.