Individual provider Active NPI

Wilson T Lee, MD

  • Anesthesiology Physician
  • Concord, CA
National Provider Identifier
1154697340
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A127387 Issued in CA
Practice address
2222 East St
Concord, CA 94520-2084
Phone
(925) 691-5000
NPI assigned
Apr 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A127387 CA Primary

Addresses

Primary practice location

2222 East St
Concord, CA 94520-2084

Mailing address

2222 East St Ste 200
Concord, CA 94520-2065
Phone (925) 691-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160808001528 CA Practitioner - Anesthesiology 3577857945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

2540 E St
Concord, CA 94520-1906
Phone (925) 682-8200

Hospital & facility affiliations

  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G2 Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Sep 3, 2016 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
John Muir Physician Network Past Accepting new patients

Locations

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

2222 East St
Ste 200
Concord, CA 94520
Phone (707) 207-0899

2222 East St
Ste 290
Concord, CA 94520
Phone (925) 691-1580

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 Forest Ave
Palo Alto, CA 94301
Phone (650) 289-1208

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400

2021 Ygnacio Valley Rd
Ste H102
Walnut Creek, CA 94598
Phone (866) 678-4320

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

Interoperability endpoints

  • Direct secure messaging: wlee58115@ehr.johnmuirhealth.com

Organizations & group practices 7

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 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": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1154697340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 EAST ST STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202065",
            "telephone_number": "925-691-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 EAST ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202084",
            "telephone_number": "925-691-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILSON",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-01",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A127387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.