SANGJIN LEE (MD, MSC) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1013050764

SANGJIN LEE (MD, MSC) is a healthcare provider. based in Grand rapids, Michigan. specializing in ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD, MSC. They hold a License No. 4301105849 (MI). The NPI Number for SANGJIN LEE (MD, MSC) is 1013050764

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
SANGJIN LEE (MD, MSC)
NPI
1013050764
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
14 February 2007
Last Update Date
9 September 2021

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6163915600
Graduation Year
2003 (23 years ago)
PAC ID
4789788787
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20140904000115
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
slee103482@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

45 ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY in MI

Provider Addresses for SANGJIN LEE (MD, MSC)

  • 100 MICHIGAN ST NE

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 2902 BRADFORD ST NE

    GRAND RAPIDS, MI 49525

    Phone: (616) 885-5200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $9,568.

Total Amount is formed as General ($9,568) + Research ($0) + Ownership ($0) = $9,568.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Abbott Laboratories ($8,931).

Total Amount

$9,568

General + Research + Ownership

Payments

44

Total payment records

General Amount

$9,568

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-09-04

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
I20140904000115IAdvanced Heart Failure And Transplant CardiologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes6616$0
99215Established patient office or other outpatient visit, 40-54 minutes5142$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4423$0
99214Established patient office or other outpatient visit, 30-39 minutes4338$0
93750Evaluation of lower heart chamber assist device4221$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for SANGJIN LEE (MD, MSC)?
SANGJIN LEE (MD, MSC) — NPI 1013050764 — is the standard way to identify this listing.
Is SANGJIN LEE (MD, MSC) still practicing?
SANGJIN LEE (MD, MSC) is currently listed as active in the public NPI registry.
What taxonomy line describes SANGJIN LEE (MD, MSC)?
For research purposes, treat SANGJIN LEE (MD, MSC) as Advanced Heart Failure and Transplant Cardiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SANGJIN LEE (MD, MSC) list a practice location?
Patients near Grand Rapids, Michigan may find SANGJIN LEE (MD, MSC) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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