Active NPI
Moonhee Lee, M.D.
- Allergy Physician
- Arlington, TX
National Provider Identifier
1174575831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- H3693
- Practice address
- 3939 W Green Oaks Blvd
Suite 210
Arlington, TX 76016-2784 - Phone
- (817) 457-3939
- Fax
- (817) 457-3114
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | H3693 | TX | Primary |
Addresses
Primary practice location
3939 W Green Oaks Blvd
Suite 210
Arlington, TX 76016-2784
Mailing address
3939 W Green Oaks Blvd
Suite 210
Arlington, TX 76016-2784
Phone (817) 457-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127681801 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100916000146 | TX | Practitioner - Allergy/Immunology | 3072638907 | Practice locations: Arlington, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3939 W Green Oaks Blvd
Arlington, TX 76016-2793
Phone (817) 457-3939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1174575831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 W GREEN OAKS BLVD",
"address_2": "SUITE 210",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162784",
"telephone_number": "817-457-3939",
"fax_number": "817-457-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 W GREEN OAKS BLVD",
"address_2": "SUITE 210",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162784",
"telephone_number": "817-457-3939",
"fax_number": "817-457-3114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MOONHEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "TX",
"license": "H3693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127681801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.