Individual provider Active NPI

Colton Ty Lee, MD

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1013407642
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23835 Issued in NV
Practice address
8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013
Phone
(702) 757-4724
Fax
(702) 258-7877
NPI assigned
May 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 23835 NV Primary

Addresses

Primary practice location

8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013

Mailing address

8930 W Sunset Rd Ste 300
Las Vegas, NV 89148-5013
Phone (702) 258-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718002634 NV Practitioner - General Surgery 5496007791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LV Surgery Associates PLLCGroup PAC ID 2668840174, 25 clinicians

Practice addresses (Care Compare)

8930 W Sunset Rd
Suite 300
Las Vegas, NV 89148-5013
Phone (702) 258-7788

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
LV Surgery Associates PLLC CurrentSince Jul 2, 2023 Accepting new patients
Talbert Medical Group Past Accepting new patients

Locations

901 N Green Valley Pkwy
Ste 160
Henderson, NV 89074
Phone (702) 258-7788

6850 N Durango Dr
Ste 218
Las Vegas, NV 89149
Phone (702) 202-3431

8930 W Sunset Rd
Ste 300
Las Vegas, NV 89148
Phone (702) 258-7788

1250 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 383-4001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1013407642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485013",
            "telephone_number": "702-258-7788",
            "fax_number": "702-258-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 W SUNSET RD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485013",
            "telephone_number": "702-757-4724",
            "fax_number": "702-258-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "COLTON",
        "middle_name": "TY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "23835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.