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

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1962820969

Jisoo Lee, MD is a Pulmonary Disease in Providence, Rhode Island. Qualified in 2014, 12 years ago. Practices with Newport Hospital, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
12
Licensed in
RI
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD16345 (RI)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MD16345 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD16345 (RI)

Record details

NPI number1962820969
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing addressDept 3010, Po Box 986524, Boston, MA 02298-6524

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Newport Hospital — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Providence