Individual provider Active NPI

Kie Lee, MD

  • Emergency Medicine Physician
  • Hartford, CT
National Provider Identifier
1497042048
Registry record updated Apr 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
53273 Issued in CT
Practice address
114 Woodland St
Dept of Emergency Medicine
Hartford, CT 06105-1208
Phone
(860) 714-4001
Fax
(860) 714-8046
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 53273 CT Primary

Addresses

Primary practice location

114 Woodland St
Dept of Emergency Medicine
Hartford, CT 06105-1208

Mailing address

114 Woodland St
Hartford, CT 06105-1208

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
I20160510000067 TX Practitioner - Emergency Medicine 2163665704 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Dorado Urgent Care, PLLCGroup PAC ID 0547528887, 28 clinicians
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

5500 Sycamore School Rd
Suite 100
Fort Worth, TX 76123-3053
Phone (682) 707-9707

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Emergency Consultants, PLLC Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Woodbridge Physicians Staffing Group, PLLC CurrentSince Nov 1, 2017 Accepting new patients
El Dorado Urgent Care, PLLC CurrentSince Nov 1, 2017 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Apr 15, 2017 Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

7214 Crawford Rd
Ste 100
Argyle, TX 76226
Phone (940) 293-2888

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5500 Sycamore School Rd
Ste 150
Fort Worth, TX 76123
Phone (682) 707-9707

5500 Sycamore School Rd
Ste 100
Fort Worth, TX 76123
Phone (682) 707-9707

2955 Eldorado Pkwy
Frisco, TX 75033
Phone (214) 407-8668

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

405 State Highway 121 Byp
Ste A250
Lewisville, TX 75067
Phone (940) 784-3310

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460851200000",
    "number": "1497042048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "DEPT OF EMERGENCY MEDICINE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-714-4001",
            "fax_number": "860-714-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2016-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "53273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.