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DR. DONGHOON LEE MD
NPI 1376293860
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 27, 2022PECOS Enrolled
1040 WISHARD BLVD, INDIANAPOLIS, IN 46202(317) 278-1090 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Jun 11, 2023 (2 updates tracked since 2023).

About Dr. Donghoon Lee Md NPPES

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

DR. DONGHOON LEE MD (NPI 1376293860) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in (64627) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376293860
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DONGHOON LEECredential: MD
Location Address1040 WISHARD BLVDIndianapolis, IN 46202
Mailing Address1040 Wishard BlvdIndianapolis, IN 46202-2872
Phone(317) 278-1090
Sole ProprietorNo
Enumeration DateMarch 27, 2022
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1376293860 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
License✔ Licensed · 64627
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.
1040 WISHARD BLVD, Indianapolis, IN 46202
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Secondary Practice Locations 2

Location 11600 Medical Center DrHuntington, WV 25701-3656 · Phone (304) 691-1200
Location 243 New Scotland Avenue, Department of SurgeryAlbany, NY 12208 · Phone (518) 262-5374

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donghoon 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.

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.

RUBEN HERNAN HERNANDEZ MONDRAGON MD
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. ZACHARY COLE WAGNER DO
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD, DUNLAP BUILDING
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
ANIKA TAHSIN SHAFIE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
LAUREN LUCAS MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
LEA FEGHALI
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
MAITE BASTYR MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 963-4634
NICHOLAS REDILLA III
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
ALLISON MARIE TANN NP
Nurse Practitioner (Family)
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893

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 Donghoon Lee's NPI number?

The NPI number for Donghoon Lee is 1376293860. It was assigned to this individual provider in the NPPES registry on March 27, 2022.

Where is Donghoon Lee located?

Donghoon Lee practices at 1040 Wishard Blvd, Indianapolis, IN 46202. The listed phone number is (317) 278-1090.

What is Donghoon 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 Donghoon Lee enrolled in Medicare?

Yes. Donghoon Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donghoon Lee was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.