NPIMap

Individual provider Active NPI

Lee Kien Yong, M.D.

  • Infectious Disease Physician
  • Saint Charles, MO
National Provider Identifier
1952538522
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2011001240 Issued in MO
Practice address
330 1St Capitol Dr Ste 260
Saint Charles, MO 63301-2888
Phone
(636) 925-0900
Fax
(636) 925-0960
NPI assigned
Jun 22, 2009
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2011001240 MO Primary
Infectious Disease Physician 207RI0200X 036123437 IL

Addresses

Primary practice location

330 1St Capitol Dr Ste 260
Saint Charles, MO 63301-2888

Mailing address

335 Oak Stand CT
Chesterfield, MO 63005-1310
Phone (636) 751-2042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000300 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 7214109354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases PCGroup PAC ID 6305880956, 10 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Suite 171B
Saint Louis, MO 63128-2141

300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000

330 1St Capitol Dr
Suite 260
St Charles, MO 63128
Phone (636) 925-0900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036123437ILMDInfectious Disease Physician
2011001240MOMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases PC Infectious Disease CurrentSince Oct 13, 2016 Accepting new patients
Infectious Diseases, PC Infectious Disease CurrentSince Oct 13, 2016 Accepting new patients

Locations

330 1st Capitol Dr
Ste 260
Saint Charles, MO 63301
Phone (636) 723-6800

400 1st Capitol Dr
Ste 300
Saint Charles, MO 63301
Phone (636) 925-0900

Interoperability endpoints

  • Direct secure messaging: leeyong@id.direct.emds.com
  • Direct secure messaging: lyong134784@direct.carenet.org

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.

Hospital & facility affiliations 5

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1952538522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 OAK STAND CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051310",
            "telephone_number": "636-751-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 1ST CAPITOL DR STE 260",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012888",
            "telephone_number": "636-925-0900",
            "fax_number": "636-925-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONG",
        "first_name": "LEE",
        "middle_name": "KIEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2021-07-19",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2011001240",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036123437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.