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

Individual provider Anesthesiology Physician · NPI 1558641464

Jiwon Lee, MD is an Anesthesiology in Indianapolis, Indiana. Qualified in 2011, 15 years ago. Practices with Northside Anesthesia Services, LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Indiana and Pennsylvania.

Years since qualifying
15
Licensed in
IN, PA
In the registry since
2011
Specialties on file
2
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

2001 W 86th St
Indianapolis, IN 46260-1902
Phone: (317) 614-9850
Fax: (317) 614-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 01073766A (IN)
General Practice Physician Taxonomy 208D00000X · Licence MT 200476 (PA)

Record details

NPI number1558641464
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2011
Last updated in NPPESJune 24, 2015

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northside Anesthesia Services, Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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