NPIMap

Individual provider Active NPI

John Hoon Lee, MD

  • Orthopaedic Surgery Physician
  • Bolingbrook, IL
National Provider Identifier
1700847308
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036096001 Issued in IL
Practice address
396 Remington Blvd
Suite 130
Bolingbrook, IL 60440-4920
Phone
(630) 759-1248
Fax
(630) 759-0717
NPI assigned
Mar 31, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036096001 IL Primary

Addresses

Primary practice location

396 Remington Blvd
Suite 130
Bolingbrook, IL 60440-4920

Mailing address

396 Remington Blvd
Suite 130
Bolingbrook, IL 60440-4920
Phone (630) 759-1248

Other identifiers 1

IdentifierTypeStateIssuer
399980OtherILGROUP PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.lee.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000769 IL Practitioner - Orthopedic Surgery 0446296081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wright State University Boonshoft School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

396 Remington Blvd
Suite 380
Bolingbrook, IL 60440-4302
Phone (224) 273-4000

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 856-3075

6084 S Archer Ave
Chicago, IL 60638-2747
Phone (773) 229-8508

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Aug 1, 2008 Accepting new patients
Adventist Health Partners, Inc CurrentSince Aug 1, 2008 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Porter Health Services Orthopaedic Surgery Past Accepting new patients
Porter Health Services Past Accepting new patients
Porter Physician Services LLC Orthopaedic Surgery Past Accepting new patients

Locations

396 Remington Blvd
Ste 130
Bolingbrook, IL 60440
Phone (630) 312-5000

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

Interoperability endpoints

  • Direct secure messaging: jlee1240355@adventhealth.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1700847308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD",
            "address_2": "SUITE 130",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404920",
            "telephone_number": "630-759-1248",
            "fax_number": "630-759-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD",
            "address_2": "SUITE 130",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404920",
            "telephone_number": "630-759-1248",
            "fax_number": "630-759-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "HOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036096001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "399980",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.lee.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "396 Remington Blvd",
            "address_2": "Suite 130",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604404920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.