NPIMap

Organization Active NPI

David M Lee, MD, PA

Doing business as AHL Medical Group

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1073576864
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DAVID M LEE, MD, PA
Doing business as
AHL Medical Group
Uptown Physicians Group
Practice address
2801 Lemmon Ave Ste 400
Dallas, TX 75204-2399
Phone
(214) 303-1033
Fax
(214) 303-1032
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
David M Lee, MDNPI 1801850201
Title
MD
Phone
(214) 303-1033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2801 Lemmon Ave Ste 400
Dallas, TX 75204-2399

Mailing address

2801 Lemmon Ave Ste 400
Dallas, TX 75204-2399
Phone (214) 303-1033

Other practice location 1

2929 Carlisle St
Suite 260
Dallas, TX 75204-1084
Phone (214) 303-1033

Other identifiers 2

IdentifierTypeStateIssuer
0006MQOtherTXBC/BS
173762901MedicaidTX

Other names 2

  • AHL Medical Group Doing business as
  • Uptown Physicians Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000591 TX Part B Supplier - Clinic/Group Practice 7719940774 Receives reassigned benefits from 38 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1038941Uptown Physicians Group2801 Lemmon Ave Suite 400, Dallas, TX 75204Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
AIDS Arms Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3600 Gaston Ave
Dallas, TX 75246
Phone (214) 820-7246

2929 Carlisle St
Ste 260
Dallas, TX 75204
Phone (214) 303-1033

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1073576864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042399",
            "telephone_number": "214-303-1033",
            "fax_number": "214-303-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042399",
            "telephone_number": "214-303-1033",
            "fax_number": "214-303-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Carlisle St",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752041084",
            "country_code": "US",
            "telephone_number": "214-303-1033",
            "fax_number": "214-303-1032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVID M LEE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "214-303-1033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0006MQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173762901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHL Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHL Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uptown Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.