DR. DONGHOON LEE MD
NPI 1376293860
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

NPI Status: Active since March 27, 2022

Contact Information

1040 WISHARD BLVD
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 278-1090

Get Directions Reviews

  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About DONGHOON LEE

This page provides the complete NPI Profile along with additional information for Donghoon Lee, a primary care provider established in Indianapolis, Indiana with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1376293860 assigned on March 2022. The practitioner's primary taxonomy code is 390200000X with license number 64627 (). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1376293860
Provider Name
DR. DONGHOON LEE MD
Gender
Male
Entity Type
Individual
Location Address
1040 WISHARD BLVD INDIANAPOLIS, IN 46202
Location Phone
(317) 278-1090
Mailing Address
1040 WISHARD BLVD INDIANAPOLIS, IN 46202
Is Sole Proprietor?
No
Enumeration Date
03-27-2022
Last Update Date
06-05-2024
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A primary care provider (PCP) like Donghoon Lee sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1600 Medical Center Dr
    Huntington, WV 25701
    (304) 691-1200
  • 43 New Scotland Avenue Department of Surgery
    Albany, NY 12208
    (518) 262-5374

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License No.
64627
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Donghoon Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. DONGHOON LEE MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376293860
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146496812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 4 + 9 + 6 + 8 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1376293860 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366887564DR. TANYA KEZIA DANIELLE WILSON M.D.
Individual
Family Medicine1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1689663031 CAROL LYNN DELLINGER M.D.
Individual
Family Medicine1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1720241144DR. DANIELA A LOBO M.D.
Individual
Family Medicine1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1831459890 JONATHAN D MOULDER MD
Individual
Family Medicine1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1912587627DR. CELIA ROSE MENKE MD
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-0857
1891753778 DEANNA R WILLIS MD
Individual
Family Medicine1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1447743398DR. WADE GARRET KVATUM MD
Individual
Family Medicine1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1891355871DR. PAUL THOMAS MINGO MD
Individual
Family Medicine1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1437644911 ANNA GERALDINA PENDREY GUILLEN MD
Individual
Family Medicine (Geriatric Medicine)1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1558624684DR. SABRINA L SILVER D.O.
Individual
Family Medicine (Sports Medicine)1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1023703055DR. ZACHARY COLE WAGNER DO
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD DUNLAP BUILDING
INDIANAPOLIS, IN 46202
(317) 278-1090
1093419558 LEA FEGHALI
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1518652445 KARMJOT HUNDAL DO
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 278-1090
1548966963 MEGAN K TENBARGE NP
Individual
Nurse Practitioner (Family)1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8897
1689379919 LIAN CEU HNIN DO
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 278-1090
1730874884 JOSHUA DAVID PIERCE DO
Individual
Family Medicine1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 278-1090
1750086559DR. JEFFERSON ABRAHAM JOSE MD
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 278-1090
1811691116 RASHED ROMELL DAHABRAH MD
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-8893
1982399309 NATHANIEL BODE DO
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 278-1090
1356923239 AUNDREA BUSSE
Individual
Student in an Organized Health Care Education/Training Program1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
(317) 962-0857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376293860, enumerated in the NPI registry as an "individual" on March 27, 2022

The provider is located at 1040 Wishard Blvd Indianapolis, In 46202 and the phone number is (317) 278-1090

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 27, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.