Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAE EUN LEE MD
NPI 1164124491
Neurological Surgery in Los Angeles, CA

Active since March 20, 2023PECOS Enrolled
1200 N STATE ST STE 3300, LOS ANGELES, CA 90089(323) 409-7422 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Mar 29, 2023, Mar 20, 2023 (3 updates tracked since 2023).

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.

NPPES Registry Identity

NPI1164124491
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJAE EUN LEECredential: MD
Location Address1200 N STATE ST STE 3300Los Angeles, CA 90089-1001
Mailing Address1200 N State St Ste 3300Los Angeles, CA 90089-1001
Sole ProprietorYes
Enumeration DateMarch 20, 2023
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
NPI 1164124491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in CA · A202106
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1200 N STATE ST STE 3300, Los Angeles, CA 90089

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jae Eun Lee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 10

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

Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE 3300
LOS ANGELES, CA 90089
Neurological Surgery
1200 N STATE ST STE 3300
LOS ANGELES, CA 90089
Neurological Surgery
1200 N STATE ST STE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE 3300
LOS ANGELES, CA 90089
Neurological Surgery
1200 N STATE ST STE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE 3300
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.

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 30 days 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.