GI-SOO LEE (MD) – Pediatric Otolaryngology Physician, NPI 1265444749

GI-SOO LEE (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 237587 (MA). The NPI Number for GI-SOO LEE (MD) is 1265444749

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
GI-SOO LEE (MD)
NPI
1265444749
Phone
(617) 355-6417
Address
333 LONGWOOD AVE FL 3
Enumeration Date
12 August 2006
Last Update Date
1 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6173556000
Graduation Year
2002 (24 years ago)
PAC ID
0345308995
Group Practice PAC ID
9234102526
Professional Enrollment ID
I20081025000144
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in MA

Provider Addresses for GI-SOO LEE (MD)

  • 333 LONGWOOD AVE FL 3

    BOSTON, MA 021155711

    Phone: (617) 355-6417

    Fax: (617) 730-0611

    Type: Location

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    LO-367

    BOSTON, MA 021155724

    Phone: (617) 355-6417

    Fax: (617) 730-0611

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2008-10-25

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
I20081025000144IOtolaryngologyMATBD

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 02115)

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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: 9234102526View full group profile
NameSpecialtyState
-MA
O T O L A R Y N G O L O G YMA
-PA
O T O L A R Y N G O L O G YMA
Physician AssistantMA
O T O L A R Y N G O L O G YMA
-MA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YQUEBEC

Reviews

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Frequently asked questions

How do payers reference GI-SOO LEE (MD)?
For GI-SOO LEE (MD), use NPI 1265444749 as the unique 10-digit identifier.
Active or inactive — what applies to GI-SOO LEE (MD)?
You should see GI-SOO LEE (MD) as active in CMS-hosted NPPES data.
What kind of doctor is GI-SOO LEE (MD)?
GI-SOO LEE (MD) is associated with Pediatric Otolaryngology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for GI-SOO LEE (MD)?
Travel planning: use Boston, Massachusetts as the reference point for GI-SOO LEE (MD), then confirm.
Can I trust this NPI listing for GI-SOO LEE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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