DONG HOON LEE M.D.
NPI 1174854038
Internal Medicine in Pittsburg, CA

Q: What is Dong Hoon Lee's NPI number?

The NPI number for Dong Hoon Lee is 1174854038. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Q: What is Dong Hoon Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dong Hoon Lee was last updated on August 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since January 15, 2010PECOS EnrolledAccepts Medicare Assignment

2220 GLADSTONE DR STE 3, PITTSBURG, CA 94565(925) 432-3318(925) 432-0886 Get Directions Write a Review

NPPES record last updated: August 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2025, Jun 16, 2025, Dec 15, 2021 (3 updates tracked since 2021).

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About Dong Hoon Lee M.d. NPPES

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

DONG HOON LEE M.D. (NPI 1174854038) is an individual internal medicine provider in Pittsburg, California, licensed in California (A124137) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1174854038

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDONG HOON LEECredential: M.D.

Location Address2220 GLADSTONE DR STE 3Pittsburg, CA 94565-5123

Mailing Address2220 Gladstone Dr Ste 3Pittsburg, CA 94565-5123 · (520) 626-9660 · Fax (925) 432-0886

Phone(925) 432-3318

Fax(925) 432-0886

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJanuary 15, 2010

Last NPPES UpdateAugust 17, 20253 updates tracked since enumeration

NPPES CertifiedAugust 17, 2025

✔ NPI 1174854038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A124137

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.

2220 GLADSTONE DR STE 3, Pittsburg, CA 94565

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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

Dong Hoon Lee M.d. 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 ID4486770385

PECOS Enrollment IDI20130424000360

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.

Medicare Billing Reassignments

Medicare enrollment records show Dong Hoon Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pittsburg-Antioch Medical Group A Professional Corporation

Same address

Internal Medicine

2220 GLADSTONE DR, SUITE 3
Pittsburg, CA 94565

Reassigned Medicare billing, California enrollment
18 clinicians in this Medicare group

NPI 1619922911 (924) 432-3318

Permanente Medical Group Inc

22 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Southern California Permanente Medical Group

302 mi

Health Maintenance Organization

2103 E GONZALES RD
Oxnard, CA 93036

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1275756652 (805) 650-4700

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 94565 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 7

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

MRS. NICOLE NATALIE RANAHAN

Nurse Practitioner (Family)