DR. JONATHAN C LEE M.D. NPI 1205190147

NPI Information

  • NPI: 1205190147
  • Provider Name: DR. JONATHAN C LEE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5001 US HIGHWAY 30 W STE D
    FORT WAYNE, IN
    ZIP 46818
  • Phone: (260) 432-1568

Map and Directions

Get Directions

NPI Details

DR. Jonathan C Lee, M.D. is a diagnostic radiology radiology in Fort Wayne, IN with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jonathan C Lee, M.D. NPI is 1205190147. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN
ZIP 46818-701
Phone: (260) 432-1568
Fax: (260) 432-4969

The NPI 1205190147 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance (HCPCS:22513)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/26/2012 and was last updated on 1/7/2025.

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
12085B0100XRadiologyBody Imaging5118-850WISCONSINNo
22085R0202XRadiologyDiagnostic Radiology62743WISCONSINNo
32085R0204XRadiologyVascular & Interventional Radiology62743WISCONSINNo
42085R0204XRadiologyVascular & Interventional Radiology01073121AINDIANANo
52085R0202XRadiologyDiagnostic Radiology01073121AINDIANAYes

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

NPI Synchronization or Removal

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.