DR. CHRISTINE KO-EUN LEE (M.D.) – Pediatric Gastroenterology Physician, NPI 1891906855

DR. CHRISTINE KO-EUN LEE (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in PEDIATRIC MEDICINE, GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 231281 (MA). The NPI Number for DR. CHRISTINE KO-EUN LEE (M.D.) is 1891906855

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTINE KO-EUN LEE (M.D.)
NPI
1891906855
Phone
(617) 355-6058
Address
300 LONGWOOD AVE
Enumeration Date
24 May 2007
Last Update Date
29 August 2015

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
6173556000
Graduation Year
2001 (25 years ago)
PAC ID
4082780333
Group Practice PAC ID
3476541830
Professional Enrollment ID
I20080910000258
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,245 PEDIATRIC MEDICINE in MA

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Provider Addresses for DR. CHRISTINE KO-EUN LEE (M.D.)

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

    CHILDREN'S HOSPITAL BOSTON

    BOSTON, MA 021155724

    Phone: (617) 355-6058

    Mailing address matches the actual address.

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-12-04 • Largest payer in this snapshot: Fresenius Kabi USA, LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Fresenius Kabi USA, LLC$15
View all Open Payments →|Open Payments Risk Radar →

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: 2008-09-10

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
I20080910000258IPediatric MedicineMATBD

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: 3476541830View full group profile
NameSpecialtyState
-MA
Nurse PractitionerMA
-MA
-MA
Critical Care (Intensivists), Pediatric MedicineMA
Allergy/Immunology, Pediatric MedicineMA
Hematology/Oncology, Pediatric MedicineMA
-MA
G A S T R O E N T E R O L O G YMA
-MA

Reviews

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Frequently asked questions

Can I cross-check DR. CHRISTINE KO-EUN LEE (M.D.) using NPI 1891906855?
NPI 1891906855 belongs to DR. CHRISTINE KO-EUN LEE (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. CHRISTINE KO-EUN LEE (M.D.)?
You should see DR. CHRISTINE KO-EUN LEE (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. CHRISTINE KO-EUN LEE (M.D.)?
DR. CHRISTINE KO-EUN LEE (M.D.) is associated with Pediatric Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CHRISTINE KO-EUN LEE (M.D.)?
Directory geography for DR. CHRISTINE KO-EUN LEE (M.D.) centers on Boston, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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