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KI JUNG LEE
NPI 1205538303
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 21, 2023PECOS EnrolledAccepts Medicare Assignment
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-5000 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ki Jung Lee NPPES

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

KI JUNG LEE (NPI 1205538303) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Tufts University School Of Medicine (2023).

NPPES Registry Identity

NPI1205538303
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKI JUNG LEE
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address194 E Bare Hill RdHarvard, MA 01451-1850
Phone(617) 636-5000
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2023
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1205538303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 WASHINGTON ST, Boston, MA 02111
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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

Ki Jung Lee 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 ID9638539745
PECOS Enrollment IDI20260608002295
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 Reassignment

Medicare enrollment records show Ki Jung Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pratt Medical Group, Inc
Same address
Gastroenterology
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 334 clinicians in this Medicare group
NPI 1013237809 (617) 636-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

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.

AARON DICKSTEIN M.D.
Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Suffolk County (617) 636-5883
THOMAS E BIGELOW
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Suffolk County (617) 636-5857
SARAH MERRIMAN PERSING M.D.
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. SHARANYA MOHANTY M.D.
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
AFRAH SADIQ SAIT MOHAMMED M.D.
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (718) 629-7204
ADNAN SALIM QAMAR MD
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5829
ALICIA SIGIA WU MD
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-1619
ZEANAARONEVAN ANDRES LUNA
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-8100

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 Ki Jung Lee's NPI number?

The NPI number for Ki Jung Lee is 1205538303. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Ki Jung Lee located?

Ki Jung Lee practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-5000.

What is Ki Jung Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ki Jung Lee enrolled in Medicare?

Yes. Ki Jung 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 organization bills Medicare for Ki Jung Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ki Jung Lee reassigns Medicare benefits to Pratt Medical Group, Inc (Boston, MA). 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 Ki Jung Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ki Jung Lee affiliated with any hospitals?

According to CMS data, Ki Jung Lee is affiliated with Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Ki Jung Lee was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.