KOOKJAE LEE MD
NPI 1912359365
Pediatrics in Baltimore, MD

Q: What is Kookjae Lee's NPI number?

The NPI number for Kookjae Lee is 1912359365. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Q: What is Kookjae Lee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kookjae Lee was last updated on January 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 11, 2016PECOS Enrolled

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-5568 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kookjae Lee Md NPPES

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

KOOKJAE LEE MD (NPI 1912359365) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D98357) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1912359365

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKOOKJAE LEECredential: MD

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266

Phone(410) 550-5568

Sole ProprietorNo

Enumeration DateJuly 11, 2016

Last NPPES UpdateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1912359365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D98357

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4940 EASTERN AVE, Baltimore, MD 21224

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Secondary Practice Location 1

Location 11650 Grand ConcourseBronx, NY 10457-7606 · Phone (917) 250-9490

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 21224 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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