DR. NICOLE NAKYUNG LEE MD NPI 1669615183

NPI Information

  • NPI: 1669615183
  • Provider Name: DR. NICOLE NAKYUNG LEE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 S SAN MATEO DR
    SAN MATEO, CA
    ZIP 94401
  • Phone: (650) 696-4140

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NPI Details

DR. Nicole Nakyung Lee, MD is a diagnostic radiology radiology in San Mateo, CA with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Nicole Nakyung Lee, MD NPI is 1669615183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

100 S SAN MATEO DR
SAN MATEO, CA
ZIP 94401-805
Phone: (650) 696-4140
Fax: (650) 696-4637

The NPI 1669615183 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)
  • Screening mammography (HCPCS:77067)
  • Ct scan head or brain without contrast (HCPCS:70450)

The enumeration date for this NPI number is 4/14/2009 and was last updated on 3/28/2025.

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
12085R0202XRadiologyDiagnostic RadiologyC160807CALIFORNIAYes

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
11021958MEDICAIDVERMONT
23077513MEDICAIDNEW HAMPSHIRE
3100170487MEDICAIDCALIFORNIA

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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