Individual provider Active NPI

Michael Lee, M.D.

  • Emergency Medicine Physician
  • Plano, TX
National Provider Identifier
1417161886
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
206767 Issued in LA
Practice address
8512 Cadbury CT
Plano, TX 75024-6822
Phone
(708) 829-4501
NPI assigned
May 9, 2007
Last updated
Dec 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 206767 LA Primary
Family Medicine Physician 207Q00000X 48481 MN
Family Medicine Physician 207Q00000X 29762 OK

Addresses

Primary practice location

8512 Cadbury CT
Plano, TX 75024-6822

Mailing address

4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone (214) 857-1975

Other identifiers 1

IdentifierTypeStateIssuer
1417161886MedicaidMN

Other names 1

  • Dr. Michael K Lee Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GU, CA3 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

Enrollment IDStateProvider typePAC IDDetails
I20141028000968 LA Practitioner - Family PracticePractitioner - Emergency Medicine 9234223850 Reassigns benefits to 5 organizations
I20170427000664 GU Practitioner - Family Practice 9234223850 Reassigns benefits to 1 organization
I20180619003384 CA Practitioner - Emergency Medicine 9234223850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206767LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ed Physicians of West Louisiana, LLC Emergency Medicine CurrentSince Jan 8, 2018 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Teche Emergency Group LLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Guam Memorial Hospital CurrentSince Apr 1, 2017 Accepting new patients
Opelousas Emergency Group LLC Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
San Joaquin Emergency Medical Associates Emergency Medicine CurrentSince Aug 13, 2024 Accepting new patients
Main Street Emergency Group LLC Emergency Medicine CurrentSince Dec 6, 2015 Accepting new patients
Congress Emergency Group LLC Emergency Medicine CurrentSince Oct 5, 2014 Accepting new patients
Guam Memorial Hospital CurrentSince Apr 1, 2017 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
PHS Indian Hospital Past Accepting new patients
Nes Louisiana Inc Emergency Medicine PastSince Jul 10, 2022 Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1417161886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 CADBURY CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246822",
            "telephone_number": "708-829-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "206767",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "48481",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "29762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417161886",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "LEE",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.