GINA LEE (MD) – Pediatric Infectious Diseases Physician, NPI 1639631468

GINA LEE (MD) is a healthcare provider. based in Dallas, Texas. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. DR.0075675 (CO). The NPI Number for GINA LEE (MD) is 1639631468

Main info

Female
7 Years Of Experience
Name
GINA LEE (MD)
NPI
1639631468
Phone
Not provided
Address
2140 MEDICAL DISTRICT DR APT 3081
Enumeration Date
1 April 2019
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
9032611587
Professional Enrollment ID
I20250904004588
Address ID
TN370274692BR2000XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

800 PEDIATRIC MEDICINE in CO

Provider Addresses for GINA LEE (MD)

  • 2140 MEDICAL DISTRICT DR APT 3081

    DALLAS, TX 752358275

    Phone:

    Type: Mailing

  • 2055 N HIGH ST STE 270

    DENVER, CO 802055545

    Phone: (844) 424-4537

    Type: Location

  • Children's Medical Center of Dallas, 1935, Medical District Drive, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States

    DALLAS, TX 752357701

    Phone: (844) 424-4537

    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: 2025-09-04

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
I20250904004588IPediatric MedicineCOTBD

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 75235)

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Reviews

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Frequently asked questions

Does GINA LEE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GINA LEE (MD) uses 1639631468.
Is GINA LEE (MD) still practicing?
GINA LEE (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes GINA LEE (MD)?
For research purposes, treat GINA LEE (MD) as Pediatric Infectious Diseases Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does GINA LEE (MD) serve?
GINA LEE (MD)'s listing highlights Dallas, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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