SEON KYU LEE M.D.,PHD.
NPI 1104036714
Radiology - Neuroradiology in Bronx, NY

Q: What is Seon Kyu Lee's NPI number?

The NPI number for Seon Kyu Lee is 1104036714. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Seon Kyu Lee's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Q: When was this NPI record last updated?

The NPPES record for Seon Kyu Lee was last updated on April 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since May 23, 2007PECOS Enrolled

100/100

CMS Quality Rating

111 E 210TH ST, BRONX, NY 10467(718) 920-7050 Get Directions Write a Review

NPPES record last updated: April 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2020, Apr 2, 2020, Dec 23, 2018 (3 updates tracked since 2018).

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About Seon Kyu Lee M.d.,phd. NPPES

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

SEON KYU LEE M.D.,PHD. (NPI 1104036714) is an individual neuroradiology provider in Bronx, New York, licensed in New York (292153-1) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1104036714

Entity TypeIndividualMale

Primary Taxonomy2085N0700X

Provider Legal NameSEON KYU LEECredential: M.D.,PHD.

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address3316 Rochambeau Ave Lowr LevelcBronx, NY 10467-2841 · (718) 920-7050

Phone(718) 920-7050

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateMay 23, 2007

Last NPPES UpdateApril 25, 20203 updates tracked since enumeration

NPPES CertifiedApril 25, 2020

✔ NPI 1104036714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0700X

Licenses✔ Licensed in NY · 292153-1✔ Licensed in MA · 231785

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X · License 231785 (MA)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 231785 (MA)

111 E 210TH ST, Bronx, NY 10467

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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 (PECOS)

Seon Kyu Lee M.d.,phd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830281435

PECOS Enrollment IDI20190219002254

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.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

33 services33 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

16 services16 patients

Mri scan of blood vessels of head without contrast 70544

An MRI scan of the head's blood vessels without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the blood vessels in your head. This helps doctors diagnose conditions such as stroke, aneurysm, or other vascular disorders.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)