Individual provider Active NPI

Jun Sik Lee, M.D.

  • Diagnostic Radiology Physician
  • Savannah, GA
National Provider Identifier
1730535212
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
90837 Issued in GA
Practice address
5353 Reynolds St
Savannah, GA 31405-6015
Phone
(912) 819-6000
NPI assigned
May 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 90837 GA Primary
Internal Medicine Physician 207R00000X 125.068047 IL

Addresses

Primary practice location

5353 Reynolds St
Savannah, GA 31405-6015

Mailing address

345 Commercial Dr
Savannah, GA 31406-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220401001595 GA Practitioner - Diagnostic Radiology 7416249073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient Imaging Services LLCGroup PAC ID 7810022480, 11 clinicians
Savannah Chatham Imaging LLCGroup PAC ID 6800890245, 32 clinicians

Practice addresses (Care Compare)

101 Saint Josephs Candler Dr
Pooler, GA 31322-9584

101 St Josephs Candler Dr
Pooler, GA 31322-9579
Phone (912) 748-0068

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-2452

4 E Jackson Blvd
Savannah, GA 31405-5810
Phone (912) 355-1010

527 Eisenhower Dr
Savannah, GA 31406-2668
Phone (912) 691-1460

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-8132

6602 Waters Ave
BLDG C
Savannah, GA 31406-2778
Phone (912) 354-7676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
69.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.068047ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Imaging Services LLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Savannah Chatham Imaging LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients

Locations

101 Saint Josephs Candler Dr
Pooler, GA 31322
Phone (912) 450-1945

6602 Waters Ave
Bldg C
Savannah, GA 31406
Phone (912) 354-7676

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

345 Commercial Dr
Savannah, GA 31406
Phone (912) 356-0031

527 Eisenhower Dr
Savannah, GA 31406
Phone (912) 443-4200

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

10 Oak Forest Rd
Ste A
Bluffton, SC 29910
Phone (843) 836-4300

Organizations & group practices 2

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 3

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1730535212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-819-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUN",
        "middle_name": "SIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "90837",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.068047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.