JAKE JAESANG LEE M.D.
NPI 1619328499
Otolaryngology in Stanford, CA
About Jake Jaesang Lee M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAKE JAESANG LEE M.D. (NPI 1619328499) is an individual otolaryngology provider in Stanford, California, licensed in California (A197590) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
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
Jake Jaesang Lee M.d. 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
3Medicare enrollment records show Jake Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Berwyn, PA 19312
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Jake Lee's NPI number?
The NPI number for Jake Lee is 1619328499. It was assigned to this individual provider in the NPPES registry on June 23, 2016.
Where is Jake Lee located?
Jake Lee practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Jake Lee's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Jake Lee enrolled in Medicare?
Yes. Jake 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 Jake Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Lee reassigns Medicare benefits to 3 organizations: Stanford Health Care (Stanford, CA), Lpch Medical Group Div Of Lucile (Palo Alto, CA) and University Of Penn-Medical Group (Berwyn, PA). 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 Jake 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 Jake Lee was last updated on October 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.
# Jake Jaesang Lee, M.D. · NPI 1619328499
Otolaryngology physician in Stanford, California. Individual provider, active in the CMS NPPES registry since June 23, 2016.
## Identity
- **NPI:** 1619328499 (Entity type: Individual)
- **Enumerated:** June 23, 2016
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** A197590 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1437292927, Stanford, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); University Of Penn-Medical Group (NPI 1396133559, Berwyn, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pittsburgh School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619328499) · Data from the CMS NPPES public registry.