Individual provider Active NPI

Eun Sun Lee I, MD

  • Infectious Disease Physician
  • Hartford, CT
National Provider Identifier
1962854521
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
070751 Issued in CT
Practice address
132 Jefferson Street, 3Rd Floor
Hartford Hospital Infectious Diseases
Hartford, CT 06106-2429
Phone
(860) 972-9300
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 070751 CT
Internal Medicine Physician 207R00000X 125.068125 IL
Infectious Disease Physician 207RI0200X 37395 OK
Hospitalist Physician 208M00000X 37395 OK
Infectious Disease Physician 207RI0200X 070751 CT Primary

Addresses

Primary practice location

132 Jefferson Street, 3Rd Floor
Hartford Hospital Infectious Diseases
Hartford, CT 06106-2429

Mailing address

132 Jefferson Street, 3Rd Floor
Hartford Hospital Infectious Diseases
Hartford, CT 06106-2429
Phone (860) 972-9300

Other names 1

  • Eunsun Lee Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220607002149 CT Practitioner - Infectious DiseasePractitioner - Internal Medicine 1052604956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford HospitalGroup PAC ID 2567366016, shared by 6 NPIs, 1,040 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.068125ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Infectious Disease CurrentSince Jan 20, 2025 Accepting new patients
Hartford Hospital CurrentSince Jun 15, 2022 Accepting new patients
Hartford Hospital Internal Medicine CurrentSince Jun 15, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

132 Jefferson St
Fl 3
Hartford, CT 06106
Phone (860) 972-9300

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

12 Case St
Ste 313
Norwich, CT 06360
Phone (860) 204-9126

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: eunsun.lee@xdr.hhchealthdirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1962854521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON STREET, 3RD FLOOR",
            "address_2": "HARTFORD HOSPITAL INFECTIOUS DISEASES",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062429",
            "telephone_number": "860-972-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 JEFFERSON STREET, 3RD FLOOR",
            "address_2": "HARTFORD HOSPITAL INFECTIOUS DISEASES",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062429",
            "telephone_number": "860-972-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUN SUN",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2022-06-09",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "070751",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.068125",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "37395",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "37395",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "070751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNSUN",
            "last_name": "LEE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.