1. Home
  2. Directory
  3. California
  4. San Mateo
  5. Radiology
  6. NPI Profile

DR. NICOLE NAKYUNG LEE MD
NPI 1669615183
Radiology - Diagnostic Radiology in San Mateo, CA

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment
100 S SAN MATEO DR, SAN MATEO, CA 94401(650) 696-4140(650) 696-4637 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 28, 2025, Dec 17, 2021 (2 updates tracked since 2021).

About Dr. Nicole Nakyung Lee Md NPPES

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

DR. NICOLE NAKYUNG LEE MD (NPI 1669615183) is an individual diagnostic radiology provider in San Mateo, California, licensed in California (C160807) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Oregon Health Sciences University School Of Medicine (2005).

NPPES Registry Identity

NPI1669615183
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. NICOLE NAKYUNG LEECredential: MD
Location Address100 S SAN MATEO DRSan Mateo, CA 94401-3805
Mailing AddressPo Box 6102Novato, CA 94948-6102 · (415) 884-9125 · Fax (415) 883-0877
Phone(650) 696-4140
Fax(650) 696-4637
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2005
Enumeration DateApril 14, 2009
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1669615183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · C160807
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
100 S SAN MATEO DR, San Mateo, CA 94401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1222 W 39th AveSan Mateo, CA 94403-4364 · Phone (650) 573-2681
Location 21501 Trousdale DrBurlingame, CA 94010-4506 · Phone (650) 696-5509 · Fax (650) 696-5995

Other Identifiers 3

Medicaid1021958VT
Medicaid3077513NH
Medicaid100170487CA

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

Dr. Nicole Nakyung 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 ID4284896283
PECOS Enrollment IDI20201029000678
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

5

Medicare enrollment records show Nicole Lee reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Mateo County
1.6 mi
Community/Behavioral Health
1950 ALAMEDA DE LAS PULGAS
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Mateo
  • Also billed through NPI 1831268580 (California)
  • 597 clinicians in this Medicare group
NPI 1710908272 (650) 573-3571
Permanente Medical Group Inc
8.0 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000
Sutter Bay Medical Foundation
13 mi
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121
California Advanced Imaging Medical Associates Inc
16 mi
Diagnostic Radiology
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 96 clinicians in this Medicare group
NPI 1881646909 (415) 600-6000
Sutter Valley Medical Foundation
48 mi
Multi-Specialty
2720 LOW CT
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1184859894 (707) 428-2731

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
40 services36 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
20 services11 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
20 services11 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
12 services12 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

HARRIET BETH BOROFSKY M.D.
Radiology (Diagnostic Radiology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-4140
SUTTER BAY HOSPITALS
Psychiatric Unit
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-5400
CLAY HUGHES NAPPER M.D.
Radiology (Diagnostic Radiology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-4515
QUAN MY TRAN DO
Family Medicine
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-4515
VALERIE NOWAKOWSKI MD
Radiology (Radiation Oncology)
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 336-8117
JEFFREY J. GUTTAS. MD, INC.
Allergy & Immunology
100 S SAN MATEO DR, STE 400
SAN MATEO, CA 94401
San Mateo County (650) 696-4101
DR. JEFFREY JOHN GUTTAS M.D.
Internal Medicine (Cardiovascular Disease)
100 S SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
San Mateo County (650) 696-4100
HAIDEE SUI DPT
Physical Therapist
100 S SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 696-4315

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 Nicole Lee's NPI number?

The NPI number for Nicole Lee is 1669615183. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Nicole Lee located?

Nicole Lee practices at 100 S San Mateo Dr, San Mateo, CA 94401. The listed phone number is (650) 696-4140.

What is Nicole Lee's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicole Lee enrolled in Medicare?

Yes. Nicole 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 Nicole Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Lee reassigns Medicare benefits to 5 organizations: San Mateo County (San Mateo, CA), Permanente Medical Group Inc (Redwood City, CA), Sutter Bay Medical Foundation (Palo Alto, CA), California Advanced Imaging Medical Associates Inc (San Francisco, CA) and Sutter Valley Medical Foundation (Fairfield, 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 Nicole 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 Nicole Lee was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.