Individual provider Active NPI

Jean Hwa Lee, MD

  • Body Imaging Physician
  • Seattle, WA
National Provider Identifier
1740292234
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
MD00043523 Issued in WA
Practice address
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340
Phone
(206) 543-0065
NPI assigned
Aug 12, 2006
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD00043523 WA Primary
Diagnostic Radiology Physician 2085R0202X MD00043523 WA

Addresses

Primary practice location

1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340

Mailing address

1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-6340
Phone (206) 543-0065

Other identifiers 2

IdentifierTypeStateIssuer
8804411OtherWAMEDCARE PIN
1740292234MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040720000294 WA Practitioner - Diagnostic Radiology 0749269975 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Pet-CT Imaging at Swedish Cancer Institute LLCGroup PAC ID 5092736884, 14 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

1221 Madison St
Suite 150
Seattle, WA 98104-1385
Phone (206) 215-6487

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2030

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4250

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00043523WAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pet-CT Imaging at Swedish Cancer Institute LLC Diagnostic Radiology CurrentSince Sep 16, 2022 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Swedish Health Services Body Imaging CurrentSince Oct 15, 2023 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Sep 7, 2022 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Sep 7, 2022 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 24, 2024 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Aug 9, 2022 Accepting new patients
Swedish Health Services CurrentSince Oct 15, 2023 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Aug 9, 2022 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Sep 7, 2022 Accepting new patients
Wenatchee Valley Hospital CurrentSince Aug 30, 2022 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Sep 7, 2022 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 24, 2024 Accepting new patients
Central Washington Health Services Association CurrentSince Aug 30, 2022 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Sep 7, 2022 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Sep 7, 2022 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Sep 7, 2022 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

1101 Madison St
Ste 580
Seattle, WA 98104
Phone (206) 400-7625

1221 Madison St
Ste 150
Seattle, WA 98104
Phone (206) 215-6433

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 7

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1740292234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "C212, BOX 356340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956340",
            "telephone_number": "206-543-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "C212, BOX 356340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956340",
            "telephone_number": "206-543-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEAN",
        "middle_name": "HWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WA",
            "license": "MD00043523",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00043523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCARE PIN",
            "identifier": "8804411",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740292234",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.