Individual provider Active NPI

Lee Tungjen Weng, MD

  • Psychiatry Physician
  • Overland Park, KS
National Provider Identifier
1902849102
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R7G24 Issued in MO
Practice address
11661 College Blvd
Overland Park, KS 66210-4107
Phone
(913) 954-8500
NPI assigned
Jun 14, 2006
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20645 KS
Psychiatry Physician 2084P0800X 2020-03133 NC
Psychiatry Physician 2084P0800X R7G24 MO Primary

Addresses

Primary practice location

11661 College Blvd
Overland Park, KS 66210-4107

Mailing address

11661 College Blvd
Overland Park, KS 66210-4107
Phone (913) 954-8500

Other practice location 1

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 394-6722

Other identifiers 2

IdentifierTypeStateIssuer
15303016OtherMOBLUE CROSS BLUE SHIELD
202597118MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tweng768525@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN, IL, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210419002027 IN Practitioner - Psychiatry 9739358094 Reassigns benefits to 2 organizations
I20210729003130 TN Practitioner - Psychiatry 9739358094 Reassigns benefits to 1 organization
I20211202000485 IL Practitioner - Psychiatry 9739358094 Reassigns benefits to 1 organization
I20240826000013 WA Practitioner - Psychiatry 9739358094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

Practice addresses (Care Compare)

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20645KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center Psychiatry Current Accepting new patients
SBH-Kingsport CurrentSince Apr 27, 2021 Accepting new patients
Associated Audiologists Inc CurrentSince Jun 1, 2022 Accepting new patients
Harrisburg Medical Center Inc Current Accepting new patients
Brentwood Meadows Physician Group LLC Psychiatry CurrentSince Feb 24, 2023 Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 29, 2024 Accepting new patients
SBH-Kingsport CurrentSince Apr 27, 2021 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 29, 2024 Accepting new patients
Harrisburg Medical Center Inc Psychiatry CurrentSince Oct 31, 2021 Accepting new patients
FWBH, LLC CurrentSince Jul 18, 2024 Accepting new patients

Locations

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

3955 W Washington Center Rd
Fort Wayne, IN 46818
Phone (260) 800-3601

3955 W Washington Center Rd
#R
Fort Wayne, IN 46818

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

4721 S Cliff Ave
Ste 201
Independence, MO 64055
Phone (816) 373-7944

1025 Executive Park Blvd
Kingsport, TN 37660
Phone (423) 765-0777

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Interoperability endpoints

  • Direct secure messaging: leeweng@wpc.allscriptsdirect.net
  • Direct secure messaging: tweng768525@direct.unc.nchie.net

Organizations & group practices 12

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 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1902849102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11661 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104107",
            "telephone_number": "913-954-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104107",
            "telephone_number": "913-954-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Mulberry St SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455720",
            "country_code": "US",
            "telephone_number": "828-394-6722",
            "fax_number": "828-394-6723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENG",
        "first_name": "LEE",
        "middle_name": "TUNGJEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "20645",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2020-03133",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R7G24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15303016",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202597118",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tweng768525@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "321 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.