Individual provider Active NPI

Robert Hayes Lee, D.P.M.

  • Podiatrist
  • Tulsa, OK
National Provider Identifier
1114941820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
188 Issued in OK
Practice address
3315 E 47TH PL
Suite 102
Tulsa, OK 74135-2914
Phone
(918) 749-4484
Fax
(918) 749-2350
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 188 OK Primary

Addresses

Primary practice location

3315 E 47TH PL
Suite 102
Tulsa, OK 74135-2914

Mailing address

3315 E 47TH PL
Suite 102
Tulsa, OK 74135-2914
Phone (918) 749-4484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110330000204 OK Practitioner - Podiatry 5294915021 Reassigns benefits to 2 organizations
I20231002000339 TX Practitioner - Podiatry 5294915021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3315 E 47TH PL
Suite 102
Tulsa, OK 74135-2911
Phone (918) 749-4484

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of nail tissue26
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Jun 20, 2023 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 19, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jun 20, 2023 Accepting new patients
Tulsa Foot & Ankle Clinic, P.C. Podiatrist CurrentSince Dec 15, 2010 Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients

Locations

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

3315 E 47th Pl
Ste 102
Tulsa, OK 74135
Phone (918) 749-4484

Dept 1467
Tulsa, OK 74182

Dept 1038
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: rlee112981@ahs.direct-ci.com

Organizations & group practices 6

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 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114941820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 E 47TH PL",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352914",
            "telephone_number": "918-749-4484",
            "fax_number": "918-749-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 E 47TH PL",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352914",
            "telephone_number": "918-749-4484",
            "fax_number": "918-749-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROBERT",
        "middle_name": "HAYES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.