KYONG-JIN LEE MD
NPI 1417426248
Pediatrics - Pediatric Cardiology in Palo Alto, CA

Active since November 22, 2018PECOS EnrolledAccepts Medicare Assignment
725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2024, Mar 28, 2023, Jan 4, 2021 and 2 more (5 updates tracked since 2018).

About Kyong-jin Lee Md NPPES

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

KYONG-JIN LEE MD (NPI 1417426248) is an individual pediatric cardiology provider in Palo Alto, California, licensed in California (C170504) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1417426248
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameKYONG-JIN LEECredential: MD
Location Address725 WELCH RDPalo Alto, CA 94304-1601
Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 22, 2018
Last NPPES UpdateApril 11, 20245 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1417426248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses Licensed in CA · C170504 Licensed in VA · 0101265554
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X · License 0101265554 (VA)
Also ListedInternal Medicine · Adult Congenital Heart DiseaseTaxonomy 207RA0002X · License 0101265554 (VA)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 0101265554 (VA)
Also ListedPediatricsTaxonomy 208000000X · License C170504 (CA)
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 0101265554 (VA)
725 WELCH RD, Palo Alto, CA 94304

Secondary Practice Location 1

Location 11250 E Marshall StRichmond, VA 23298-5051 · Phone (804) 828-2467 · Fax (804) 828-8517

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyong-jin Lee Md 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 ID3971844242
PECOS Enrollment IDI20201210001730
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.

Occupational Therapist (Pediatrics)
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner (Neonatal)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics
725 WELCH RD
PALO ALTO, CA 94304
Anesthesiology (Pediatric Anesthesiology)
725 WELCH RD
PALO ALTO, CA 94304
Pediatrics (Pediatric Hematology-Oncology)
725 WELCH RD
PALO ALTO, CA 94304
Occupational Therapist
725 WELCH RD
PALO ALTO, CA 94304
Nurse Practitioner
725 WELCH RD
PALO ALTO, CA 94304
Hospitalist
725 WELCH RD
PALO ALTO, CA 94304

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 Kyong-jin Lee's NPI number?

The NPI number for Kyong-jin Lee is 1417426248. It was assigned to this individual provider in the NPPES registry on November 22, 2018.

Where is Kyong-jin Lee located?

Kyong-jin Lee practices at 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.

What is Kyong-jin Lee's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kyong-jin Lee enrolled in Medicare?

Yes. Kyong-jin 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.

When was this NPI record last updated?

The NPPES record for Kyong-jin Lee was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.