Individual provider Active NPI

Robert Louis Lee, MD

  • Family Medicine Physician
  • Granbury, TX
National Provider Identifier
1366537482
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KO511 Issued in TX
Practice address
1200 Crawford Ave Ste a
Granbury, TX 76048-4560
Phone
(817) 573-3447
Fax
(817) 573-3616
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 KO511 TX Primary

Addresses

Primary practice location

1200 Crawford Ave Ste a
Granbury, TX 76048-4560

Mailing address

1200 Crawford Ave Ste a
Granbury, TX 76048-4560
Phone (817) 573-3447

Other identifiers 1

IdentifierTypeStateIssuer
145044701MedicaidTX

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
I20100630000564 TX Practitioner - Family Practice 6204842545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Crawford Ave
Suite a
Granbury, TX 76048-4560
Phone (817) 573-3447

Hospital & facility affiliations

  • Renew Home Health Home health agency, Fort Worth, TX, CCN 457893
  • Magnolia Home Health Home health agency, Granbury, TX, CCN 679172
  • Enhabit Home Health Home health agency, Granbury, TX, CCN 679021
  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KO511TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Granbury Family Med Clinic CurrentSince Feb 1, 2001 Accepting new patients
Blanco Regional Clinic, P.a. Family Medicine Past Accepting new patients
Nucardio Imaging, Inc Past Accepting new patients

Locations

805 Hill Blvd
Unit 103
Granbury, TX 76048
Phone (817) 573-3447

1200 Crawford Ave
Ste A
Granbury, TX 76048
Phone (817) 573-3447

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.

Hospital & facility affiliations 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1366537482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CRAWFORD AVE STE A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484560",
            "telephone_number": "817-573-3447",
            "fax_number": "817-573-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CRAWFORD AVE STE A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484560",
            "telephone_number": "817-573-3447",
            "fax_number": "817-573-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "KO511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145044701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.