Shung Man Kurt Lee, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G2419 Issued in TX

Practice address

2965 Harrison St
Ste 222
Beaumont, TX 77702-1100

Phone

(409) 892-1003

NPI assigned

Feb 23, 2006

Last updated

Mar 31, 2021By 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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Shung-Man Kurt Lee Mdpa

  • Nephrology Physician
  • Beaumont, TX
  • NPI 1386619112
  Authorized official Same address or phone
• Lake Charles Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake Charles, LA
  • NPI 1306848205
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1386610103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12435",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262435",
            "telephone_number": "409-892-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 HARRISON ST",
            "address_2": "STE 222",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021100",
            "telephone_number": "409-892-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SHUNG MAN",
        "middle_name": "KURT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G2419",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "G2419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114705002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shung.man.lee.1@22304.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2965 Harrison St",
            "address_2": "Ste 222",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777021100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Ann Ledom, LVN
• Michael Paul Leduc
• Lee Haak MD PA
• Amy Michelle Lee, RN
• Mercedes Lee, BCBA
• Cheryl Marie Leemhuis, PTA
• Legacy Community Health Services, Inc
• Legacy Community Health Services, Inc
• Legacy Community Health Services, Inc
• Legacy Community Health Services, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.