Individual provider Active NPI

William Sy Lee, MD

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1285626325
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00028243 Issued in WA
Practice address
3124 S 19TH St # 140
Tacoma, WA 98405-2433
Phone
(253) 792-6510
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00028243 WA Primary
Cardiovascular Disease Physician 207RC0000X MD00028243 WA

Addresses

Primary practice location

3124 S 19TH St # 140
Tacoma, WA 98405-2433

Mailing address

3124 S 19TH St # 140
Tacoma, WA 98405-2433
Phone (253) 792-6510

Other identifiers 1

IdentifierTypeStateIssuer
1068584MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20031209000443 WA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274439534 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jul 6, 2010 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jul 6, 2010 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

3124 S 19th St
#140
Tacoma, WA 98405
Phone (253) 459-6510

1901 S Union Ave
Ste B2005
Tacoma, WA 98405
Phone (206) 383-1543

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1285626325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST # 140",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-792-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST # 140",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-792-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILLIAM",
        "middle_name": "SY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00028243",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD00028243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068584",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.