Jason Z Lee, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M1876 Issued in TX

Practice address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766

Phone

(903) 614-3000

Fax

(903) 614-3525

NPI assigned

Jul 28, 2005

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR, TX, OK3 enrollments

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 3

Specialty

Nephrology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collom and Carney Clinic AssociationGroup PAC ID 1355249541, 52 clinicians

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Texarkana Regional Dialysis Dialysis facility, Texarkana, TX, CCN 452552
• DaVita Miller County Dialysis Dialysis facility, Texarkana, AR, CCN 042578
• DaVita Twin Cities Dialysis facility, Texarkana, AR, CCN 042601
• DaVita Southwest Arkansas Dialysis Dialysis facility, Magnolia, AR, CCN 042545
• DaVita Hempstead County Dialysis Dialysis facility, Hope, AR, CCN 042563
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.lee.p1@direct.collom-carney.nextgenshare.com

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.

• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment Care Compare group NPD
• Collom & Carney Clinic Association

  • Nephrology Physician
  • Texarkana, TX
  • NPI 1265414635

  OK

  Medicare reassignment Care Compare group
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Collom & Carney Clinic Association

  dba Collom and Carney Clinic

  • Hematology & Oncology Physician
  • Texarkana, TX
  • NPI 1114909934
  NPD
• Collom & Carney Clinic Association

  • Family Medicine Physician
  • Prescott, AR
  • NPI 1740262732
  NPD
• Diagnostic Physicians of Arkansas, PA

  • Adult Medicine Physician
  • North Little Rock, AR
  • NPI 1265544373
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Total Renal Care Inc

  dba Texarkana Regional Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Texarkana, TX
  • NPI 1649549643

  Dialysis facility

  Care Compare affiliation Name & address match
• Atchess Dialysis LLC

  dba Twin Cities Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Texarkana, AR
  • NPI 1326638511

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  dba Hempstead County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hope, AR
  • NPI 1871863860

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  dba Southwest Arkansas Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Magnolia, AR
  • NPI 1902177181

  Dialysis facility

  Care Compare affiliation Name & address match
• Christus Health Ark-la-Tex

  dba Christus St. Michael Health System

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  dba CHRISTUS St. Michael Health System

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1285634592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JASON",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "E4176",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154475001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - OK",
            "identifier": "466853ZSR",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - ARK",
            "identifier": "5M963B878",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert James Leach, MD
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• Leary Independent School District
• Katie Marie Leatherwood, LP
• Lauren Leblanc-Rasberry, DNP, NNP-BC
• David Kumba Lefors, CPO
• Zachary T Legan, DDS, MD
• Andrew Ellis Legrand, DO
• Stacy L Leonard, MD
• Emily Lester

• Nephrology Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.

Verify at the official NPI Registry.