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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 Enrolled
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: August 02, 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 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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ki Jung Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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.