KOOKJAE LEE MD
NPI 1912359365
Pediatrics in Baltimore, MD
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, is affiliated with The Queens Medical Center, and maintains a secondary practice location in Bronx.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kookjae 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kookjae Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Honolulu, HI 96817
- Reassigned Medicare billing, Hawaii enrollment
- 49 clinicians in this Medicare group
Honolulu, HI 96817
- Reassigned Medicare billing, Hawaii enrollment
- 171 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Queens Medical Center
Acute Care Hospitals · Honolulu, HIPhysician 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.
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.
BALTIMORE, MD 21224
BALTIMORE, MD 21224
BALTIMORE, MD 21224
BALTIMORE, MD 21224
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 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.
Where is Kookjae Lee located?
Kookjae Lee practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-5568.
What is Kookjae Lee's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kookjae Lee enrolled in Medicare?
Yes. Kookjae 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 Kookjae Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kookjae Lee reassigns Medicare benefits to 3 organizations: Johns Hopkins University (Baltimore, MD), Vital Anesthesia Care, Inc. (Honolulu, HI) and Pacific Anesthesia, Inc (Honolulu, HI). 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 Kookjae Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kookjae Lee affiliated with any hospitals?
According to CMS data, Kookjae Lee is affiliated with The Queens Medical Center.
When was this NPI record last updated?
The NPPES record for Kookjae Lee was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kookjae Lee, MD · NPI 1912359365
Pediatrics physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since July 11, 2016.
## Identity
- **NPI:** 1912359365 (Entity type: Individual)
- **Enumerated:** July 11, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** D98357 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4940 EASTERN AVE, Baltimore, MD 21224-2735
- **Phone:** (410) 550-5568
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1306810619, Baltimore, MD); Vital Anesthesia Care, Inc. (NPI 1780555276, Honolulu, HI); Pacific Anesthesia, Inc (NPI 1538472451, Honolulu, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912359365) · Data from the CMS NPPES public registry.