NPIMap

Individual provider Active NPI

Kevin Lee, PA-C

  • Physician Assistant
  • Broomfield, CO
National Provider Identifier
1952852196
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006467 Issued in CO
Practice address
16677 Lowell Blvd Ste 200
Broomfield, CO 80023-8053
Phone
(303) 604-5000
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006467 CO Primary

Addresses

Primary practice location

16677 Lowell Blvd Ste 200
Broomfield, CO 80023-8053

Mailing address

382 S Arthur Ave
Louisville, CO 80027-3094
Phone (303) 604-5000

Other names 1

  • Sung Min Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210122000441 CO Practitioner - Physician Assistant 5395025548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 W S Boulder Rd
Suite 200
Lafayette, CO 80026-2088
Phone (303) 604-5000

16677 Lowell Blvd
Suite 200
Broomfield, CO 80023-8053
Phone (303) 604-5000

1830 N Franklin St
Denver, CO 80218-1128
Phone (303) 604-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0006467COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Sep 26, 2023 Accepting new patients
Einstein Hospital Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 26, 2023 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince Nov 1, 2023 Accepting new patients
Boulder Valley Gastroenterology Inc. Past Accepting new patients

Locations

16677 Lowell Blvd
Ste 200
Broomfield, CO 80023

1830 N Franklin St
Ste 220
Denver, CO 80218

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664

382 S Arthur Ave
Unit 100
Louisville, CO 80027

382 S Arthur Ave
Louisville, CO 80027

Interoperability endpoints

  • Direct secure messaging: sungmin.lee@direct.einstein.edu
  • Direct secure messaging: kevin.lee@gastrorockies.directbygreenway.com

Organizations & group practices 6

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 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1952852196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16677 LOWELL BLVD STE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238053",
            "telephone_number": "303-604-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUNG MIN",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.