DR. SAMUEL SHIN KWON LEE M.D. NPI 1194772418

NPI Information

  • NPI: 1194772418
  • Provider Name: DR. SAMUEL SHIN KWON LEE, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18400 US HIGHWAY 18
    APPLE VALLEY, CA
    ZIP 92307
  • Phone: (760) 242-3939

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NPI Details

DR. Samuel Shin Kwon Lee, M.D. is an urology in Apple Valley, CA with 36 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Samuel Shin Kwon Lee, M.D. NPI is 1194772418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

18400 US HIGHWAY 18
APPLE VALLEY, CA
ZIP 92307-306
Phone: (760) 242-3939
Fax: (760) 242-3232

The NPI 1194772418 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.

  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Detection test by nucleic acid for multiple organisms, amplified probe(s) technique (HCPCS:87801)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
  • Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
  • Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique (HCPCS:87641)
  • Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
  • Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique (HCPCS:87653)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Complex measurement of pressure of urine flow in bladder with voiding pressure studies (HCPCS:51728)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Destruction and/or removal of large growth of bladder using an endoscope (HCPCS:52240)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope (HCPCS:52001)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 5/30/2006 and was last updated on 6/15/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology110101MISSOURINo
2208800000XUrology060213GEORGIANo
3208800000XUrologyA49819CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1785000022OTHERMISSOURIMEDICARE PART B
2DL652YMEDICARE PINCALIFORNIA
3DL652ZMEDICARE PINCALIFORNIA

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: 11/21/2025

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