Individual provider Active NPI

Jessica Karen Lee, M.D.

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1710253307
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0081320 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201
Phone
(667) 214-1302
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0081320 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201

Mailing address

250 W Pratt St Ste 880
Baltimore, MD 21201-6829
Phone (667) 214-1302

Other practice location 1

4940 Eastern Ave Bldg Rm121
Baltimore, MD 21224-2735
Phone (410) 550-2787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180205001073 MD Practitioner - Obstetrics/Gynecology 8224321476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

419 W Redwood St
Suite 500
Baltimore, MD 21201-7001
Phone (410) 328-6640

Hospital & facility affiliations

  • University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0081320MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of MD Obstetrical and Gynecological Asso. PA Obstetrics & Gynecology CurrentSince Aug 6, 2018 Accepting new patients
Johns Hopkins University CurrentSince Dec 11, 2017 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Obstetrics & Gynecology CurrentSince Dec 11, 2017 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
Obstetrical and Gynecological Assoc of the University of Maryland PA Past Accepting new patients

Locations

250 W Pratt St
Ste 880
Baltimore, MD 21201

120 Penn St
Baltimore, MD 21201
Phone (410) 328-8336

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

4940 Eastern Ave
Rm 121
Baltimore, MD 21224
Phone (410) 550-0335

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: jlee536992@direct.umm.edu

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 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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1710253307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W PRATT ST STE 880",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016829",
            "telephone_number": "667-214-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "667-214-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Eastern Ave Bldg Rm121",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242735",
            "country_code": "US",
            "telephone_number": "410-550-2787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JESSICA",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0081320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.