Individual provider Active NPI

Andrew Lee

  • Internal Medicine Physician
  • Papillion, NE
National Provider Identifier
1255021564
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R80237 Issued in AZ
Practice address
249 Olson Dr Ste 111
Papillion, NE 68046-2974
Phone
(402) 991-2200
Fax
(402) 559-6501
NPI assigned
May 10, 2023
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 10475 NE
Internal Medicine Physician 207R00000X R80237 AZ Primary

Addresses

Primary practice location

249 Olson Dr Ste 111
Papillion, NE 68046-2974

Mailing address

249 Olson Dr Ste 111
Papillion, NE 68046-2974
Phone (402) 991-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230628003470 AZ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2961861679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1255021564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 OLSON DR STE 111",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462974",
            "telephone_number": "402-991-2200",
            "fax_number": "402-559-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 OLSON DR STE 111",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462974",
            "telephone_number": "402-991-2200",
            "fax_number": "402-559-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NE",
            "license": "10475",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R80237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.