JENNIFER Y. LEE (MD) – Gynecology Physician, NPI 1174601801

JENNIFER Y. LEE (MD) is a healthcare provider. based in Oakland, California. specializing in UROLOGY, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. G81665 (CA). The NPI Number for JENNIFER Y. LEE (MD) is 1174601801

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER Y. LEE (MD)
NPI
1174601801
Phone
(510) 625-6262
Address
1800 HARRISON ST FL 7
Enumeration Date
1 November 2006
Last Update Date
8 December 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2094762000
Graduation Year
1991 (35 years ago)
PAC ID
4789572462
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20040304001337
Address ID
CA952103377ST7373XLANE300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,307 UROLOGY in CA

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Provider Addresses for JENNIFER Y. LEE (MD)

  • Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States

    OAKLAND, CA 946123466

    Phone: (510) 625-6262

    Type: Mailing

  • Kaiser Ambulatory Surgery Center, 6600, Bruceville Road, Sacramento, Sacramento County, California, 95823, United States

    SACRAMENTO, CA 958234671

    Phone: (916) 688-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040304001337IUrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER Y. LEE (MD) for billing?
Administrative and clinical systems typically use NPI 1174601801 for JENNIFER Y. LEE (MD).
Is JENNIFER Y. LEE (MD) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER Y. LEE (MD) as active.
How should patients interpret JENNIFER Y. LEE (MD)'s specialty?
The extract shows Gynecology Physician for JENNIFER Y. LEE (MD). Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER Y. LEE (MD)?
The directory associates JENNIFER Y. LEE (MD) with Oakland, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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