JAE EUN LEE MD
NPI 1164124491
Neurological Surgery in Los Angeles, CA
About Jae Eun Lee Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAE EUN LEE MD (NPI 1164124491) is an individual neurological surgery provider in Los Angeles, California, licensed in California (A202106) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jae Eun Lee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jae Eun Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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 Jae Eun Lee's NPI number?
The NPI number for Jae Eun Lee is 1164124491. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Jae Eun Lee located?
Jae Eun Lee practices at 1200 N State St Ste 3300, Los Angeles, CA 90089. The listed phone number is (323) 409-7422.
What is Jae Eun Lee's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Jae Eun Lee enrolled in Medicare?
Yes. Jae Eun Lee is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jae Eun Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jae Eun Lee reassigns Medicare benefits to Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). The 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 Jae Eun 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 Jae Eun Lee was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.