Individual provider Active NPI

Jungmin Lee, M.D.

  • Gastroenterology Physician
  • Pittsburgh, PA
National Provider Identifier
1891134714
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD462951 Issued in PA
Practice address
2589 Boyce Plaza Rd
Ste 5
Pittsburgh, PA 15241-4907
Phone
(412) 232-8104
Fax
(412) 281-1898
NPI assigned
Jun 25, 2013
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT205022 PA
Gastroenterology Physician 207RG0100X MD462951 PA Primary

Addresses

Primary practice location

2589 Boyce Plaza Rd
Ste 5
Pittsburgh, PA 15241-4907

Mailing address

2589 Boyce Plaza Rd
Ste 5
Pittsburgh, PA 15241-4907
Phone (412) 232-8104

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jungminlee@pga.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190604000926 PA Practitioner - Gastroenterology 7517245160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Gastroenterology AssociatesGroup PAC ID 2567457740, 26 clinicians

Practice addresses (Care Compare)

2589 Boyce Plaza Rd
Suite 5
Pittsburgh, PA 15241-4907
Phone (412) 232-8104

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Gastroenterology Associates Gastroenterology CurrentSince Jul 1, 2019 Accepting new patients

Locations

100 Stoops Dr
Monongahela, PA 15063
Phone (724) 483-2760

1350 Locust St
Ste 406
Pittsburgh, PA 15219
Phone (412) 207-2632

2589 Boyce Plaza Rd
Ste 5
Pittsburgh, PA 15241
Phone (412) 232-8104

2589 Boyce Plaza Rd
Upper St Clair, PA 15241
Phone (412) 232-8104

Interoperability endpoints

  • Direct secure messaging: jungminlee@pga.allscriptsdirect.net

Organizations & group practices 1

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 6

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1891134714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 BOYCE PLAZA RD",
            "address_2": "STE 5",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152414907",
            "telephone_number": "412-232-8104",
            "fax_number": "412-281-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 BOYCE PLAZA RD",
            "address_2": "STE 5",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152414907",
            "telephone_number": "412-232-8104",
            "fax_number": "412-281-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNGMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT205022",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD462951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jungminlee@pga.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2589 BOYCE PLAZA RD",
            "address_2": "STE 5",
            "city": "PITTSBURGH",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152414907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.