MR. KIM J. LEE M.D.
NPI 1861587602
Pediatrics - Pediatric Cardiology in Grand Rapids, MI
About Mr. Kim J. Lee M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KIM J. LEE M.D. (NPI 1861587602) is an individual pediatric cardiology provider in Grand Rapids, Michigan, licensed in Michigan (4301058639) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Reaver School Chiropractic (1991).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Kim J. 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
2Medicare enrollment records show Kim Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 405 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 492 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Kim Lee's NPI number?
The NPI number for Kim Lee is 1861587602. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is Kim Lee located?
Kim Lee practices at 25 Michigan St NE Suite 4300, Grand Rapids, MI 49503. The listed phone number is (616) 267-9150.
What is Kim Lee's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Kim Lee enrolled in Medicare?
Yes. Kim 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 Kim Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Lee reassigns Medicare benefits to 2 organizations: Spectrum Health Hospitals (Grand Rapids, MI) and Munson Medical Center (Traverse City, MI). 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 Kim Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kim Lee accept?
Health plans from Priority Health list Kim Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kim Lee was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Kim J. Lee, M.D. · NPI 1861587602
Pediatric Cardiology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1861587602 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 4301058639 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 MICHIGAN ST NE, SUITE 4300, Grand Rapids, MI 49503
- **Phone:** (616) 267-9150 · **Fax:** (616) 267-1408
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Hospitals (NPI 1558407189, Grand Rapids, MI); Munson Medical Center (NPI 1013222587, Traverse City, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Reaver School Chiropractic, class of 1991
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861587602) · Data from the CMS NPPES public registry.