Active NPI
Edwin Jin Su Lee, M.D.
- Gastroenterology Physician
- Suffolk, VA
National Provider Identifier
1972921047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101272136
- Practice address
- 5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797 - Phone
- (757) 483-6100
- NPI assigned
- Apr 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101272136 | VA | Primary |
Addresses
Primary practice location
5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797
Mailing address
5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3797
Phone (757) 483-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5839 Harbour View Blvd
Suite 200
Suffolk, VA 23435-3797
Phone (757) 483-6100
Hospital & facility affiliations
- Bon Secours Maryview Medical Center
- Sentara Obici Hospital
- Bon Secours Harbour View Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 159 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Digestive Care ,LLC | Gastroenterology | Current | Accepting new patients |
| Capital Digestive Care, LLC | Gastroenterology | Current | Accepting new patients |
Locations
113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285
5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100
3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone 7574836100 ext. 208
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1992752521
-
- Gastroenterology Physician
- Temple Hills, MD
- NPI 1437997988
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1104658434
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1972921047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5839 HARBOUR VIEW BLVD STE 200",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353797",
"telephone_number": "757-483-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5839 HARBOUR VIEW BLVD STE 200",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353797",
"telephone_number": "757-483-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EDWIN",
"middle_name": "JIN SU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-04",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101272136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.