GREGORY WOOKOUN LEE (M.D.) – Family Medicine Physician, NPI 1649255282

GREGORY WOOKOUN LEE (M.D.) is a healthcare provider. based in Oakland, California. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036-094244 (IL). The NPI Number for GREGORY WOOKOUN LEE (M.D.) is 1649255282

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY WOOKOUN LEE (M.D.)
NPI
1649255282
Phone
(808) 389-2640
Address
5256 MILES AVE
Enumeration Date
7 December 2005
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5103071500
Graduation Year
1994 (32 years ago)
PAC ID
4183802499
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20110708000252

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
Experience72
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

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Provider Addresses for GREGORY WOOKOUN LEE (M.D.)

  • 5256, Miles Avenue, Temescal, North Oakland, Oakland, Alameda County, California, 94168, United States

    OAKLAND, CA 946181045

    Phone: (808) 389-2640

    Type: Mailing

  • Kaiser Permanente Richmond Medical Center, 901, Nevin Avenue, Iron Triangle, Richmond, Contra Costa County, California, 94801, United States

    RICHMOND, CA 948013143

    Phone: (510) 307-1555

    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: 2011-07-08

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
I20110708000252IFamily PracticeCATBD

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 94618)

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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

Is there an official ID for GREGORY WOOKOUN LEE (M.D.) in U.S. healthcare records?
The official identifier for GREGORY WOOKOUN LEE (M.D.) is NPI 1649255282.
Would GREGORY WOOKOUN LEE (M.D.) appear as active to a payer?
You can treat GREGORY WOOKOUN LEE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to GREGORY WOOKOUN LEE (M.D.)?
GREGORY WOOKOUN LEE (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GREGORY WOOKOUN LEE (M.D.)?
Travel planning: use Oakland, California as the reference point for GREGORY WOOKOUN LEE (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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