BAEKCHEOL LEE NP
NPI 1114405537
Nurse Practitioner - Family in Germantown, MD
About Baekcheol Lee Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAEKCHEOL LEE NP (NPI 1114405537) is an individual family provider in Germantown, Maryland, licensed in Maryland (R207157) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Baekcheol Lee Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Baekcheol Lee reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Germantown, MD 20874
- Reassigned Medicare billing, District of Columbia enrollment
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia enrollment
- 4 clinicians in this Medicare group
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 21 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 168 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20874 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GERMANTOWN, MD 20874
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 Baekcheol Lee's NPI number?
The NPI number for Baekcheol Lee is 1114405537. It was assigned to this individual provider in the NPPES registry on July 30, 2018.
Where is Baekcheol Lee located?
Baekcheol Lee practices at 12401 Middlebrook Rd Ste 170, Germantown, MD 20874. The listed phone number is (240) 203-8820.
What is Baekcheol Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Baekcheol Lee enrolled in Medicare?
Yes. Baekcheol 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.
Which organizations bill Medicare for Baekcheol Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Baekcheol Lee reassigns Medicare benefits to 4 organizations: Jca Medical Associates LLC (Germantown, MD), Jiki Medical Associates, LLC (Rockville, MD), Varahe Health Services LLC (Rockville, MD) and Minuteclinic LLC (Rockville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Baekcheol Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Baekcheol Lee was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Baekcheol Lee, NP · NPI 1114405537
Family physician in Germantown, Maryland. Individual provider, active in the CMS NPPES registry since July 30, 2018.
## Identity
- **NPI:** 1114405537 (Entity type: Individual)
- **Enumerated:** July 30, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R207157 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 12401 MIDDLEBROOK RD STE 170, Germantown, MD 20874-1522
- **Phone:** (240) 203-8820 · **Fax:** (240) 349-7832
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Jca Medical Associates LLC (NPI 1124859665, Germantown, MD); Jiki Medical Associates, LLC (NPI 1407043466, Rockville, MD); Varahe Health Services LLC (NPI 1811727753, Rockville, MD); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114405537) · Data from the CMS NPPES public registry.