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JI YOUNG LEE MD
NPI 1053990754
Internal Medicine in Santa Monica, CA

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
1919 SANTA MONICA BLVD STE 210, SANTA MONICA, CA 90404(424) 314-7800 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2025, Oct 10, 2024, Feb 10, 2024 and 1 more (4 updates tracked since 2021).

About Ji Young Lee Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JI YOUNG LEE MD (NPI 1053990754) is an individual internal medicine provider in Santa Monica, California, licensed in California (A183653) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2021).

NPPES Registry Identity

NPI1053990754
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJI YOUNG LEECredential: MD
Location Address1919 SANTA MONICA BLVD STE 210Santa Monica, CA 90404-1970
Mailing Address1919 Santa Monica Blvd Ste 210Santa Monica, CA 90404-1970
Phone(424) 314-7800
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateMarch 30, 20254 updates tracked since enumeration
NPPES CertifiedMarch 30, 2025
✔ NPI 1053990754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A183653
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1919 SANTA MONICA BLVD STE 210, Santa Monica, CA 90404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ji Young Lee Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769913318
PECOS Enrollment IDI20241007001956
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NITIN KAPUR MD MPH
Internal Medicine
1919 SANTA MONICA BLVD STE 210
SANTA MONICA, CA 90404
Los Angeles County (310) 423-8828
LAURA DIANE SIMPLER
Internal Medicine
1919 SANTA MONICA BLVD STE 210
SANTA MONICA, CA 90404
Los Angeles County (424) 315-2327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ji Young Lee's NPI number?

The NPI number for Ji Young Lee is 1053990754. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Ji Young Lee located?

Ji Young Lee practices at 1919 Santa Monica Blvd Ste 210, Santa Monica, CA 90404. The listed phone number is (424) 314-7800.

What is Ji Young Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ji Young Lee enrolled in Medicare?

Yes. Ji Young Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ji Young Lee was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.