Individual provider Active NPI

Jongsoo Lee, MD

  • Gastroenterology Physician
  • Lakewood, WA
National Provider Identifier
1962376616
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD.MD.70039970 Issued in WA
Practice address
9115 S Tacoma Way Ste 105
Lakewood, WA 98499-4400
Phone
(253) 581-4564
Fax
(253) 581-6484
NPI assigned
Oct 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD.MD.70039970 WA Primary

Addresses

Primary practice location

9115 S Tacoma Way Ste 105
Lakewood, WA 98499-4400

Mailing address

9115 S Tacoma Way Ste 105
Lakewood, WA 98499-4400
Phone (253) 581-4564

Other names 1

  • Jay Jongsoo Lee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20251024002862 WA Practitioner - Internal MedicinePractitioner - Gastroenterology 6103314653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanmi Medical Clinic LLCGroup PAC ID 3274638713, 2 clinicians

Practice addresses (Care Compare)

9115 S Tacoma Way
Suite 105
Lakewood, WA 98499-4400
Phone (253) 581-4564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.MD.70039970WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanmi Medical Clinic LLC CurrentSince Oct 3, 2025 Accepting new patients

Locations

9115 South Tacoma Way
Ste 105
Tacoma, WA 98499
Phone (253) 581-4564

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1962376616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 S TACOMA WAY STE 105",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994400",
            "telephone_number": "253-581-4564",
            "fax_number": "253-581-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 S TACOMA WAY STE 105",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994400",
            "telephone_number": "253-581-4564",
            "fax_number": "253-581-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONGSOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD.MD.70039970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "LEE",
            "middle_name": "JONGSOO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.