Individual provider Active NPI

Lee Ann Pearse, M.D.

  • Pediatric Cardiology Physician
  • Dallas, TX
National Provider Identifier
1184629347
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
K4524 Issued in TX
Practice address
7777 Forest LN
Ste B141
Dallas, TX 75230-2527
Phone
(972) 566-5622
Fax
(972) 566-5616
NPI assigned
Jun 15, 2005
Last updated
Mar 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X K4524 TX Primary

Addresses

Primary practice location

7777 Forest LN
Ste B141
Dallas, TX 75230-2527

Mailing address

7777 Forest LN
Ste B141
Dallas, TX 75230-2527
Phone (972) 566-5622

Other identifiers 1

IdentifierTypeStateIssuer
1297350-06MedicaidTX

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
I20040727000394 TX Practitioner - Pediatric Medicine 1557341823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Colorado School of Medicine, Denver, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Congenital Heart Surgery Center PLLCGroup PAC ID 0648376137, 8 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7000

7777 Forest LN
Suite B141
Dallas, TX 75230-2527
Phone (972) 566-5622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4524TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Pediatric Cardiology CurrentSince Mar 31, 2021 Accepting new patients
Congenital Heart Surgery Center PLLC CurrentSince Aug 1, 2024 Accepting new patients
Lee Ann Pearse, M.D., P.a. Pediatric Cardiology PastSince Apr 27, 2004 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

7777 Forest Ln
Ste B141
Dallas, TX 75230
Phone (972) 566-5622

7777 Forest Ln
Ste B144
Dallas, TX 75230
Phone (972) 566-5622

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

7601 Preston Rd
#C
Plano, TX 75024

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

1902 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 614-3800

Interoperability endpoints

  • Direct secure messaging: leeann.pearse@hca7.eclinicaldirectplus.com

Organizations & group practices 3

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1184629347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE B141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302527",
            "telephone_number": "972-566-5622",
            "fax_number": "972-566-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "STE B141",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302527",
            "telephone_number": "972-566-5622",
            "fax_number": "972-566-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSE",
        "first_name": "LEE ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "K4524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1297350-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.