Individual provider Active NPI

Edward Ilho Lee, M.D.

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1083945968
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
P0754 Issued in TX
Practice address
546 Waugh Dr
Houston, TX 77019
Phone
(713) 999-1321
Fax
(713) 999-1327
NPI assigned
Jan 16, 2010
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X P0754 TX
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X P0754 TX Primary

Addresses

Primary practice location

546 Waugh Dr
Houston, TX 77019

Mailing address

546 Waugh Dr
Houston, TX 77019-2002
Phone (713) 999-1321

Other practice location 1

2800 Kirby Dr Ste B212
Houston, TX 77098-1742
Phone (713) 999-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120530000243 TX Practitioner - Plastic and Reconstructive Surgery 1355504424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0754TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuveau Surgery Center CurrentSince Jun 3, 2025 Accepting new patients

Locations

3720 Westheimer Rd
Ste 101
Houston, TX 77027
Phone (281) 974-2566

Interoperability endpoints

  • Direct secure messaging: edward.lee.2@13131.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1083945968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 WAUGH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770192002",
            "telephone_number": "713-999-1321",
            "fax_number": "713-999-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WAUGH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77019",
            "telephone_number": "713-999-1321",
            "fax_number": "713-999-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Kirby Dr Ste B212",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770981742",
            "country_code": "US",
            "telephone_number": "713-999-1321",
            "fax_number": "713-999-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EDWARD",
        "middle_name": "ILHO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-16",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P0754",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P0754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.