Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jae Seung Lee

Individual provider Diagnostic Radiology Physician · NPI 1235499229

Jae Seung Lee is a Diagnostic Radiology in Phoenix, Arizona. Graduated from University of Tennessee, Hsc, College of Medicine in 2012, 14 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, Tennessee and Texas.

Years since qualifying
14
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
AZ, TN, TX
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

350 W Thomas Rd
Phoenix, AZ 85013
Phone: (602) 406-3874
Fax: (602) 406-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7211 Wellington Dr Ste 101, Knoxville, TN 37919-5968 — (865) 588-8005
  • 910 Madison Ave, Memphis, TN 38163 — (901) 448-5364
  • 910 Madison Ave, Memphis, TN 38163 — (901) 448-5364

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 55725 (AZ)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 75669 (TN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence S1636 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235499229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2012
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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