NPIMap

Individual provider Active NPI

John Y Lee, M.D.

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1255367108
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8788 Issued in TX
Practice address
774 Landa St
New Braunfels, TX 78130-6114
Phone
(830) 625-0305
Fax
(830) 625-2693
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8788 TX Primary

Addresses

Primary practice location

774 Landa St
New Braunfels, TX 78130-6114

Mailing address

PO Box 311627
New Braunfels, TX 78131-1627
Phone (830) 625-0305

Other identifiers 4

IdentifierTypeStateIssuer
042190101MedicaidTX
126961501OtherTXGROUP MEDICAID
00R38TOtherTXGROUP MEDICARE
1952326993OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000678 TX Practitioner - Family Practice 6002897667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1015 W San Antonio St
New Braunfels, TX 78130-5507
Phone (830) 627-9027

712 N Houston Ave
Suite a
New Braunfels, TX 78130-4132

Hospital & facility affiliations

  • Christus Homecare Home health agency, New Braunfels, TX, CCN 677544
  • Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
  • New Braunfels Regional Rehabilitation Hospital Inpatient rehabilitation facility, New Braunfels, TX, CCN 673049
  • Eden Home Nursing home, New Braunfels, TX, CCN 455618

Merit-based Incentive Payment System (MIPS)

Final score
20.93 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients

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.

Hospital & facility affiliations 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500249600000",
    "number": "1255367108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311627",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311627",
            "telephone_number": "830-625-0305",
            "fax_number": "830-625-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 LANDA ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306114",
            "telephone_number": "830-625-0305",
            "fax_number": "830-625-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042190101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "126961501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "00R38T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1952326993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.