Active NPI
Kwanoo Lee
- Foot & Ankle Surgery Podiatrist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 692080
- Practice address
- 17215 Red Oak Dr Ste 102
Houston, TX 77090-2611 - Phone
- (281) 444-4114
- NPI assigned
- Jun 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 692080 | TX | Primary |
Addresses
Primary practice location
17215 Red Oak Dr Ste 102
Houston, TX 77090-2611
Mailing address
17215 Red Oak Dr
Houston, TX 77090-2697
Phone (281) 444-4114
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17215 Red Oak Dr
Suite 102
Houston, TX 77090-2611
Phone (281) 444-4114
Hospital & facility affiliations
- Vitalcaring Group
- HCA Houston Healthcare Kingwood
- Memorial Hermann Northeast Hospital
- HCA Houston Healthcare Northwest
- Houston Methodist the Woodlands Hospital
- Memorial Hermann Hospital System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 274 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 213 |
| Removal or shaving of skin growth | 116 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692080 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Center of North Houston P a | Foot & Ankle Surgery | Current | Accepting new patients |
| Tomball Foot and Ankle Center PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
17215 Red Oak Dr
Houston, TX 77090
17215 Red Oak Dr
Ste 102
Houston, TX 77090
Phone (281) 444-4114
17903 W Lake Houston Pkwy
Ste 104
Humble, TX 77346
Phone (281) 883-4849
8901 FM 1960 Bypass Rd W
Ste 305
Humble, TX 77338
Phone (281) 446-7773
400 Bypass Ln
Ste 110
Livingston, TX 77352
Phone (936) 252-1147
17450 St Lukes Way
Ste 190
The Woodlands, TX 77384
Phone (936) 231-8500
425 Holderrieth Blvd
Ste 100
Tomball, TX 77375
Phone (281) 351-8866
Interoperability endpoints
- kwanoolee@faaconhpa-tx.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Podiatrist
- Houston, TX
- NPI 1457393795
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Tomball, TX
- NPI 1053470120
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- Home Health Agency
- Henderson, TX
- NPI 1871632513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1164084240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17215 RED OAK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902697",
"telephone_number": "281-444-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17215 RED OAK DR STE 102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902611",
"telephone_number": "281-444-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KWANOO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-28",
"last_updated": "2023-08-18",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "692080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.