JEDIAH JAEHEE LEE MD
NPI 1679899694
Internal Medicine in Panorama City, CA

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment
13652 CANTARA ST, PANORAMA CITY, CA 91402(818) 375-2000 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jediah Jaehee Lee Md NPPES

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

JEDIAH JAEHEE LEE MD (NPI 1679899694) is an individual internal medicine provider in Panorama City, California, licensed in California (A135858) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2010).

NPPES Registry Identity

NPI1679899694
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJEDIAH JAEHEE LEECredential: MD
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address13652 Cantara StPanorama City, CA 91402-5423 · (818) 375-2000
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2010
Enumeration DateApril 15, 2010
Last NPPES UpdateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
NPI 1679899694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · A135858 Licensed in NY · 269437-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13652 CANTARA ST, Panorama City, CA 91402

Other Names 1

Professional Name (2)Jediah Jaehee Sim Md

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

Jediah Jaehee 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 ID7719100445
PECOS Enrollment IDI20151015001205
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 91402 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Psychiatry & Neurology (Psychiatry)
13652 CANTARA ST
PANORAMA CITY, CA 91402
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Dietitian, Registered
13652 CANTARA ST, PANORAMA CITY
PANORAMA CITY, CA 91402
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Family Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402

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 Jediah Lee's NPI number?

The NPI number for Jediah Lee is 1679899694. It was assigned to this individual provider in the NPPES registry on April 15, 2010. The provider is also known as Jediah Jaehee Sim MD.

Where is Jediah Lee located?

Jediah Lee practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-2000.

What is Jediah Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jediah Lee enrolled in Medicare?

Yes. Jediah 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 Jediah Lee was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.