MICHAEL JISOO LEE MD
NPI 1629631296
Internal Medicine - Hematology & Oncology in San Jose, CA

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
270 INTERNATIONAL CIR BLDG 3, SAN JOSE, CA 95119(909) 719-9924 Get Directions Write a Review

NPPES record last updated: August 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2025, Sep 25, 2024, Apr 18, 2019 (3 updates tracked since 2019).

About Michael Jisoo Lee Md NPPES

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

MICHAEL JISOO LEE MD (NPI 1629631296) is an individual hematology & oncology provider in San Jose, California, licensed in California (A176458) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629631296
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMICHAEL JISOO LEECredential: MD
Location Address270 INTERNATIONAL CIR BLDG 3San Jose, CA 95119-1100
Mailing Address270 International Cir Bldg 3San Jose, CA 95119-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 18, 2019
Last NPPES UpdateAugust 17, 20253 updates tracked since enumeration
NPPES CertifiedAugust 17, 2025
NPI 1629631296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in CA · A176458
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
270 INTERNATIONAL CIR BLDG 3, San Jose, CA 95119

Secondary Practice Locations 2

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-4074
Location 22425 Geary BlvdSan Francisco, CA 94115-3358 · Phone (415) 833-2000

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

Michael Jisoo 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 ID5698212496
PECOS Enrollment IDI20250830000817
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
270 INTERNATIONAL CIR BLDG 3
SAN JOSE, CA 95119
Physical Therapist
270 INTERNATIONAL CIR BLDG 3
SAN JOSE, CA 95119
Internal Medicine (Gastroenterology)
270 INTERNATIONAL CIR BLDG 3
SAN JOSE, CA 95119
Student in an Organized Health Care Education/Training Program
270 INTERNATIONAL CIR BLDG 3
SAN JOSE, CA 95119

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 Michael Lee's NPI number?

The NPI number for Michael Lee is 1629631296. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Michael Lee located?

Michael Lee practices at 270 International Cir Bldg 3, San Jose, CA 95119. The listed phone number is (909) 719-9924.

What is Michael Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Michael Lee enrolled in Medicare?

Yes. Michael 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 Michael Lee was last updated on August 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.