Individual provider Active NPI

Jason Dole Lee, MD

  • Radiation Oncology Physician
  • Shiloh, IL
National Provider Identifier
1851618995
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036137885 Issued in IL
Practice address
1418 Cross St
Ste 160
Shiloh, IL 62269-2914
Phone
(618) 607-1340
Fax
(618) 433-6492
NPI assigned
Apr 29, 2010
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036137885 IL Primary

Addresses

Primary practice location

1418 Cross St
Ste 160
Shiloh, IL 62269-2914

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 607-1340

Other identifiers 1

IdentifierTypeStateIssuer
200057311MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150622000351 IL Practitioner - Radiation Oncology 2860703683 Reassigns benefits to 1 organization
I20240417004325 MO Practitioner - Radiation Oncology 2860703683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Duke University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

1404 Cross St
Shiloh, IL 62269-2988
Phone (314) 362-7200

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (314) 362-7200

4921 Parkview PL
Lowr LVL
Saint Louis, MO 63110-1032
Phone (314) 362-9715

5225 Mid America PLZ
Saint Louis, MO 63129-0002
Phone (314) 286-1911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as group
Quality
76.14
Promoting interoperability
99
Improvement activities
40
Cost
76.43

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036137885ILMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Mar 14, 2024 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Aug 1, 2018 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Aug 1, 2018 Accepting new patients
Washington University CurrentSince Mar 14, 2024 Accepting new patients

Locations

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

1418 Cross St
Ste 160
Shiloh, IL 62269
Phone (618) 607-1320

4000 N Illinois Ln
Ste B
Swansea, IL 62226
Phone (618) 236-1000

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

4921 Parkview Pl
Lowr Lvl
Saint Louis, MO 63110
Phone (314) 362-9715

660 S Euclid Ave
Saint Louis, MO 63110

660 S Euclid Ave
#8224
Saint Louis, MO 63110
Phone (314) 362-8566

Interoperability endpoints

  • Direct secure messaging: jlee631009@direct.carenet.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1851618995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "618-607-1340",
            "fax_number": "618-433-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 CROSS ST",
            "address_2": "STE 160",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692914",
            "telephone_number": "618-607-1340",
            "fax_number": "618-433-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JASON",
        "middle_name": "DOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036137885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200057311",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1418 Cross St",
            "address_2": "Ste 160",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.