Individual provider Active NPI

Edward Lee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1083029995
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001160 Issued in AZ
Practice address
4816 E Camp Lowell Dr
Tucson, AZ 85712-1276
Phone
(520) 881-8640
Fax
(520) 881-0332
NPI assigned
Jun 30, 2014
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X POD001160 AZ Primary

Addresses

Primary practice location

4816 E Camp Lowell Dr
Tucson, AZ 85712-1276

Mailing address

4816 E Camp Lowell Dr
Tucson, AZ 85712-1276
Phone (520) 881-8640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200413002636 WA Practitioner - Podiatry 2264706266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Foot and Ankle Specialists PLLCGroup PAC ID 0840526778, 3 clinicians

Practice addresses (Care Compare)

206 Auburn Ave
Auburn, WA 98002-5015
Phone (253) 245-9299

4050 S 19TH St
Suite 202
Tacoma, WA 98405-1462
Phone (253) 565-3355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue117
Removal of skin lesions1-10
Removal of nail tissue413
Removal or shaving of skin growth353
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001160AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Foot and Ankle Specialists PLLC Single Specialty CurrentSince May 29, 2020 Accepting new patients
Robert Chiarello Dpmpc Single Specialty PastSince Apr 20, 2021 Accepting new patients
Brian P Hutcheson DPM PLLC Single Specialty PastSince Jan 31, 2021 Accepting new patients

Locations

206 Auburn Ave
Auburn, WA 98002
Phone (253) 245-9299

4050 S 19th St
Ste 202
Tacoma, WA 98405
Phone (253) 565-3355

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1083029995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121276",
            "telephone_number": "520-881-8640",
            "fax_number": "520-881-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121276",
            "telephone_number": "520-881-8640",
            "fax_number": "520-881-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD001160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.