Individual provider Active NPI

Steven K. Lee, M.D.

  • Facial Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1992877427
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
G53712 Issued in CA
Practice address
300 S Hobart Blvd
Suite 301
Los Angeles, CA 90020-3635
Phone
(213) 387-1417
Fax
(213) 387-1256
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X G53712 CA Primary

Addresses

Primary practice location

300 S Hobart Blvd
Suite 301
Los Angeles, CA 90020-3635

Mailing address

300 S Hobart Blvd
Suite 301
Los Angeles, CA 90020-3635
Phone (213) 387-1417

Other identifiers 1

IdentifierTypeStateIssuer
00G537120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041215000337 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6406813120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
State University of New York at Buffalo School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJ Medical Group IncGroup PAC ID 5890832059, 2 clinicians

Practice addresses (Care Compare)

300 S Hobart Blvd
Suite 301
Los Angeles, CA 90020-3693
Phone (213) 380-1200

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53712CAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJ Medical Group, Inc Facial Plastic Surgery CurrentSince Oct 1, 2009 Accepting new patients
Steven K. Lee, M.D. Inc Facial Plastic Surgery PastSince Sep 1, 2004 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

300 S Hobart Blvd
Ste 301
Los Angeles, CA 90020
Phone (213) 380-1200

Organizations & group practices 3

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 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1992877427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HOBART BLVD",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203635",
            "telephone_number": "213-387-1417",
            "fax_number": "213-387-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HOBART BLVD",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203635",
            "telephone_number": "213-387-1417",
            "fax_number": "213-387-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEVEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "G53712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G537120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.