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KENNETH K LEE MD NPI 1043245970


NPI Information

NPI: 1043245970
Provider Name: KENNETH K LEE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
885 ROOSEVELT RD
GLEN ELLYN, IL
ZIP 60137
Phone: (630) 545-3760
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Kenneth K Lee, MD is a family medicine in Glen Ellyn, IL with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kenneth K Lee, MD NPI is 1043245970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1997

The provider's business location address is:

885 ROOSEVELT RD
GLEN ELLYN, IL
ZIP 60137-141
Phone: (630) 545-3760
Fax: (630) 545-3769

The NPI 1043245970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Hemoglobin a1c level (HCPCS:83036)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 7/11/2006 and was last updated on 4/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036100509ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13631498336019001OTHERILLINOISCDPG HFS PAYEE ID
2080159107MEDICARE PINILLINOIS
3487450MEDICARE PINILLINOIS
4363149833OTHERILLINOISTAX IDENTIFICATION NUMBER
50222075OTHERILLINOISBLUE CROSS GROUP NUMBER
6920780MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP NUMBER
7036100509MEDICAIDILLINOIS
8H15519MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.