DR. JAE WON LEE MD, PHD
NPI 1497372569
Pathology - Anatomic Pathology in Indianapolis, IN

Active since July 06, 2020PECOS Enrolled
350 W 11TH ST, INDIANAPOLIS, IN 46202(888) 484-3258 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2026, Jul 6, 2020 (2 updates tracked since 2020).

About Dr. Jae Won Lee Md, Phd NPPES

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

DR. JAE WON LEE MD, PHD (NPI 1497372569) is an individual anatomic pathology provider in Indianapolis, Indiana, licensed in Indiana (01099302A) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1497372569
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. JAE WON LEECredential: MD, PHD
Location Address350 W 11TH STIndianapolis, IN 46202-4108
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 6, 2020
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1497372569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in IN · 01099302A✔ Licensed in MD · D0102131
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
350 W 11TH ST, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1600 N. Wolfe Street, Pathology Bldg, Rm 401Baltimore, MD 21287 · Phone (410) 955-3980 · Fax (410) 614-9011

Other Identifiers 1

Medicaid300131633IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jae Won Lee Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204250889
PECOS Enrollment IDI20250602001739, I20260623002564
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 Reassignments

2

Medicare enrollment records show Jae Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 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.

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
350 W 11TH ST
INDIANAPOLIS, IN 46202
Pathology (Anatomic Pathology & Clinical Pathology)
350 W 11TH ST
INDIANAPOLIS, IN 46202
Pathology (Anatomic Pathology)
350 W 11TH ST
INDIANAPOLIS, IN 46202
Pathology (Anatomic Pathology & Clinical Pathology)
350 W 11TH ST
INDIANAPOLIS, IN 46202
Pathology (Anatomic Pathology & Clinical Pathology)
350 W 11TH ST, ROOM 4070
INDIANAPOLIS, IN 46202
Pathology (Anatomic Pathology & Clinical Pathology)
350 W 11TH ST, DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
INDIANAPOLIS, IN 46202
Pathology (Anatomic Pathology & Clinical Pathology)
350 W 11TH ST
INDIANAPOLIS, IN 46202
Pathology (Clinical Pathology)
350 W 11TH ST
INDIANAPOLIS, IN 46202

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 Jae Lee's NPI number?

The NPI number for Jae Lee is 1497372569. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Jae Lee located?

Jae Lee practices at 350 W 11th St, Indianapolis, IN 46202. The listed phone number is (888) 484-3258.

What is Jae Lee's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Jae Lee enrolled in Medicare?

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

Which organizations bill Medicare for Jae Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jae Lee reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and Johns Hopkins University (Bethesda, MD). 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 Jae Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jae Lee accept?

Health plans from CareSource list Jae Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jae Lee affiliated with any hospitals?

According to CMS data, Jae Lee is affiliated with Indiana University Health and Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Jae Lee was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.