Active NPI
Paul Stephen Lee, MD
- Gastroenterology Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A79889
- Practice address
- 113 Waterworks Way
Suite 155
Irvine, CA 92618-3167 - Phone
- (949) 612-9090
- Fax
- (949) 612-9091
- NPI assigned
- Jan 9, 2007
- Last updated
- Oct 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A79889 | CA | |
| Gastroenterology Physician | 207RG0100X | A79889 | CA | Primary |
| Hepatology Physician | 207RI0008X | A79889 | CA |
Addresses
Primary practice location
113 Waterworks Way
Suite 155
Irvine, CA 92618-3167
Mailing address
113 Waterworks Way
Suite 155
Irvine, CA 92618-3167
Phone (949) 612-9090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A79889 | Other | CA | CALIFORNIA MEDICAL LIC |
| B836611 | Other | CA | KAISER NATIONAL USER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- George Washington University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Waterworks Way
Suite 155
Irvine, CA 92618-3163
Phone (949) 612-9090
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 232 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 314 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79889 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Consultants of Orange County Inc | Gastroenterology | Current | Accepting new patients |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Locations
26672 Portola Pkwy
Ste 104
Foothill Ranch, CA 92610
Phone (949) 557-0748
19582 Beach Blvd
Ste 270
Huntington Beach, CA 92648
Phone (714) 378-4920
113 Waterworks Way
Ste 155
Irvine, CA 92618
Phone (949) 764-5538
25982 Pala
Ste 140
Mission Viejo, CA 92691
Phone (949) 407-4404
15000 Kensington Park Dr
Ste 390
Tustin, CA 92782
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Irvine, CA
- NPI 1780843458
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1760531693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY",
"address_2": "SUITE 155",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183167",
"telephone_number": "949-612-9090",
"fax_number": "949-612-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY",
"address_2": "SUITE 155",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183167",
"telephone_number": "949-612-9090",
"fax_number": "949-612-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PAUL",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A79889",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A79889",
"primary": true
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "CA",
"license": "A79889",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL LIC",
"identifier": "A79889",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER NATIONAL USER ID",
"identifier": "B836611",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.