KYONG-JIN LEE MD
NPI 1417426248
Pediatrics - Pediatric Cardiology in Palo Alto, CA
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
Specialties & Licenses 6
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kyong-jin Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Kyong-jin Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyong-jin Lee reassigns Medicare benefits to 2 organizations: Lpch Medical Group Div Of Lucile (Palo Alto, CA) and Stanford Health Care (Stanford, CA). Each 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 Kyong-jin Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyong-jin Lee was last updated on April 11, 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.
# Kyong-Jin Lee, MD · NPI 1417426248
Pediatric Cardiology physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since November 22, 2018.
## Identity
- **NPI:** 1417426248 (Entity type: Individual)
- **Enumerated:** November 22, 2018
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** C170504 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 WELCH RD, Palo Alto, CA 94304-1601
- **Phone:** (650) 497-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Stanford Health Care (NPI 1437292927, Stanford, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** April 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417426248) · Data from the CMS NPPES public registry.