Individual provider

Seon Kyu Lee, M.D.,PHD.

Neuroradiology Physician Diagnostic Neuroimaging (Radiology) Physician Diagnostic Radiology Physician Medicare enrolled

Seon Kyu Lee, M.D.,PHD. is a Neuroradiology Physician in Bronx, NY, registered under NPI 1104036714. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 111 E 210TH ST, Bronx, NY 10467. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

111 E 210TH ST, Bronx, NY 10467 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
292153-1 NY Neuroradiology Physician primary
231785 MA Diagnostic Neuroimaging (Radiology)…
231785 MA Neuroradiology Physician
231785 MA Diagnostic Radiology Physician

Licences are recorded in 2 states: NY, MA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Interventional Radiology
PAC ID
9830281435

Medicare enrolment is recorded as approved under the provider type Practitioner - Interventional Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Massachusetts and New York. The practice address on file is in Bronx, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MA Massachusetts
Licence
231785
Specialty
Diagnostic Neuroimaging (Radiology)…
Verify with the MA board →
NY New York practice address
Licence
292153-1
Specialty
Neuroradiology Physician
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Neuroradiology covers

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. NUCC Health Care Provider Taxonomy, code 2085N0700X
Allopathic & Osteopathic Physicians Radiology Neuroradiology

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2085N0700X Neuroradiology Physician Neuroradiology 292153-1 NY primary
2085D0003X Diagnostic Neuroimaging (Radiology) Physician Diagnostic Neuroimaging 231785 MA
2085N0700X Neuroradiology Physician Neuroradiology 231785 MA
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 231785 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104036714 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 23, 2007
Last updatedApr 25, 2020
StatusActive
Sole proprietorNo
CredentialM.D.,PHD.
Practice address 111 E 210TH ST
Bronx, NY 10467
(718) 920-7050
Mailing address 3316 ROCHAMBEAU AVE LOWR LEVELC
Bronx, NY 10467
The last update on file is Apr 25, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104036714 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 3 6 7 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 3 3 7 2

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104036714?
NPI 1104036714 is the National Provider Identifier assigned to Seon Kyu Lee, M.D.,PHD. in Bronx, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neuroradiology cover?
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
How do I contact Seon Kyu Lee, M.D.,PHD.?
The phone number on file with NPPES is (718) 920-7050, last updated Apr 25, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Seon Kyu Lee, M.D.,PHD. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104036714 a valid number?
Yes. 1104036714 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.