Individual provider Active NPI

Rowdy Chance Lee, MD

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
National Provider Identifier
1063848075
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
BP10100067 Issued in TX
Practice address
6445 Main St Ste 2500
Houston, TX 77030-1502
Phone
(713) 441-3892
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X T-4299 MS
Physician Assistant 363A00000X PA976 AL
Student in an Organized Health Care Education/Training Program 390200000X BP10100067 TX Primary
Physician Assistant 363A00000X PA00186 MS

Addresses

Primary practice location

6445 Main St Ste 2500
Houston, TX 77030-1502

Mailing address

6445 Main St Ste 2500
Houston, TX 77030-1502
Phone (713) 441-3892

Other practice location 1

97 Henry Howard Rd Lot B
Poplarville, MS 39470-2112
Phone (601) 795-7295

Other practice location 2

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5153

Other identifiers 1

IdentifierTypeStateIssuer
04402871MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rlee36627@directpatientrecord.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20250404000234 MS Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 0042448334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-4299MSMDOrthopaedic Surgery Physician
PA976ALMDPhysician Assistant
PA00186MSMDPhysician Assistant
BP10100067TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Anesthesia, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1063848075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 MAIN ST STE 2500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301502",
            "telephone_number": "713-441-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 MAIN ST STE 2500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301502",
            "telephone_number": "713-441-3892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Henry Howard Rd Lot B",
            "address_purpose": "LOCATION",
            "city": "Poplarville",
            "state": "MS",
            "postal_code": "394702112",
            "country_code": "US",
            "telephone_number": "601-795-7295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROWDY",
        "middle_name": "CHANCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "T-4299",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA976",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10100067",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04402871",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlee36627@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "103 Medical Park",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394019042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.