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Dr. Jonathan Lee , MD

Pediatrics β€’ Pullman, WA

Active NPI 1679935530 Individual Practitioner Male Practitioner
Practice location in NPPES

1205 Se Professional Mall Blvd Ste 104
Pullman, WA 991635423

Call 5093322605 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1205 Se Professional Mall Blvd Ste 104

Pullman, WA 991635423

Telephone 5093322605
Organization at the Same NPPES Address or Phone
Public Hospital District #1-A Of Whitman County Facility NPI 1285557652

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Moscow, ID. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Lee has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Lee as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pullman and Washington

8 active clinicians are listed under Pediatrics with a practice address in Pullman, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA MD60947065

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA ML60657369

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20240416002595

Enrollment State Jurisdiction

ID

PECOS Control ID

4183964430

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1420 S Blaine St Ste 5

Moscow, ID 838433973

Phone: 2088822247

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Erik Bayona , MD

Psychiatry & Neurology - Psychiatry

NPI 1841721198

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location December 26, 2023

Registered at 1205 SE PROFESSIONAL MALL BLVD STE 104, PULLMAN, WA 991635423 (Tel: 5093322605)

πŸ“
Updated Business Mailing Address December 26, 2023

Registered at 1205 SE PROFESSIONAL MALL BLVD STE 104, PULLMAN, WA 991635423 (Tel: 5093322605)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2023

Pediatrics (license number reported to NPPES: WA ML60657369)

πŸ“
Updated Practice Location July 24, 2019

Registered at 16233 SYLVESTER RD SW STE 230, BURIEN, WA 981663044 (Tel: 2062427822)

πŸ“
Updated Business Mailing Address July 24, 2019

Registered at 123 N 55TH ST, SEATTLE, WA 981035801

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2019

Pediatrics (license number reported to NPPES: WA MD60947065)

βœ…
NPI Profile Active June 14, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 14, 2016

Registered at 4800 SAND POINT WAY NE, OC.7.830, SEATTLE, WA 981053901 (Tel: 2069872525)

πŸ“
Business Mailing Address (Initial Record) June 14, 2016

Registered at 4800 SAND POINT WAY NE, OC.7.830, SEATTLE, WA 981053901 (Tel: 2069872525)

πŸ‘€
Provider Name / Credentials (Initial Record) June 14, 2016

Recorded as JONATHAN LEE, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2016

Pediatrics (license number reported to NPPES: WA ML60657369)

🟒
Initial NPI Registration & Enumeration March 22, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679935530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2016
Last Update: July 14, 2025
Sole Proprietor: No

Mailing Address

1205 Se Professional Mall Blvd Ste 104

Pullman, WA 991635423

Phone: 5093322605

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.