DR. JUSTIN H LEE MD
NPI 1790941391
Surgery - Pediatric Surgery in Phoenix, AZ

Q: What is Justin Lee's NPI number?

The NPI number for Justin Lee is 1790941391. It was assigned to this individual provider in the NPPES registry on August 3, 2008.

Q: What is Justin Lee's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Justin Lee was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 03, 2008PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0016(602) 933-4318 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Justin H Lee Md NPPES

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

DR. JUSTIN H LEE MD (NPI 1790941391) is an individual pediatric surgery provider in Phoenix, Arizona, licensed in Arizona (52531) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2008).

NPPES Registry Identity

NPI1790941391

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameDR. JUSTIN H LEECredential: MD

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3333 Burnet AveCincinnati, OH 45229-3026 · (513) 636-4371

Phone(602) 933-0016

Fax(602) 933-4318

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2008

Enumeration DateAugust 3, 2008

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1790941391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in AZ · 52531

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License 52531 (AZ), 237400 (MA)

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Identifiers 1

Medicaid171219AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin H Lee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648499517

PECOS Enrollment IDI20260216000743

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.

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.

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