Individual provider Active NPI

Jennifer J. Lee, M.D.

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1770700908
Registry record updated Feb 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A120644 Issued in CA
Practice address
929 Clay St Ste 105
San Francisco, CA 94108-1568
Phone
(415) 982-9877
Fax
(415) 982-5523
NPI assigned
Apr 19, 2007
Last updated
Feb 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A120644 CA Primary

Addresses

Primary practice location

929 Clay St Ste 105
San Francisco, CA 94108-1568

Mailing address

929 Clay St Ste 105
San Francisco, CA 94108-1568
Phone (415) 982-9877

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000302 CA Practitioner - Dermatology 6608028386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Francisco School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

929 Clay St
Suite 105
San Francisco, CA 94108-1568

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as individual
Quality
78.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions2375
Skin biopsy43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Dermatology, P.C. Dermatology CurrentSince Mar 26, 2012 Accepting new patients
Lee Dermatology, P.C. CurrentSince Jan 1, 2013 Accepting new patients

Locations

929 Clay St
Ste 105
San Francisco, CA 94108
Phone (415) 982-9877

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487462400000",
    "number": "1770700908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CLAY ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081568",
            "telephone_number": "415-982-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CLAY ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081568",
            "telephone_number": "415-982-9877",
            "fax_number": "415-982-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A120644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.