Active NPI
Eugene S Lee, M.D., PH.D.
- Vascular Surgery Physician
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- M-16547
- Practice address
- 775 Pole Line Rd W Ste 213
Twin Falls, ID 83301-5820 - Phone
- (208) 814-8953
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A78144 | CA | |
| Vascular Surgery Physician | 2086S0129X | M-16547 | ID | Primary |
| Vascular Surgery Physician | 2086S0129X | 18532 | ND | |
| Surgery Physician | 208600000X | MD60676859 | WA | |
| Vascular Surgery Physician | 2086S0129X | MD60676859 | WA |
Addresses
Primary practice location
775 Pole Line Rd W Ste 213
Twin Falls, ID 83301-5820
Mailing address
190 E Bannock St # 112
Boise, ID 83712-6241
Other practice location 1
2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000
Other practice location 2
101 3rd Ave SW
Minot, ND 58701-3880
Phone (701) 857-5764
Other practice location 3
1100 Goethals Dr Ste E
Richland, WA 99352-3301
Phone (509) 942-3095
Other practice location 4
10535 Hospital Way
Sac 112
Mather, CA 95655-4200
Phone (916) 843-7202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Tufts University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2401 Demers Ave
Grand Forks, ND 58201-4183
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78144 | CA | MD | Pharmacist |
| A78144 | CA | MD | Vascular Surgery Physician |
| M-16547 | ID | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Altru Health System | Surgery | Current | Accepting new patients |
| Trinity Health | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients |
Locations
3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286
2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550
Organizations & group practices 7
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.
-
dba Kern Medical Center
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1336668284
-
dba Trinity Oral & Facial Surgery Center
- Oral and Maxillofacial Surgery Clinic/Center
- Minot, ND
- NPI 1245272277
-
dba Trinity Portable X-Ray
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Minot, ND
- NPI 1629636204
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
dba Trinity Health First Response Air Ambulance
- Air Ambulance
- Minot, ND
- NPI 1053502773
Hospital
-
dba Community Ambulance Service, Inc.
- Land Ambulance
- Minot, ND
- NPI 1134310857
Hospital
-
- General Acute Care Hospital
- Minot, ND
- NPI 1427103910
-
dba Trinity Hospitals Residential Treatment Center
- Substance Abuse Rehabilitation Facility
- Minot, ND
- NPI 1457539660
Hospital
-
dba Trinity St Joseph's CDU
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
-
- General Acute Care Hospital
- Minot, ND
- NPI 1932359544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1518943265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST # 112",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 POLE LINE RD W STE 213",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015820",
"telephone_number": "208-814-8953"
}
],
"practiceLocations": [
{
"address_1": "2305 37th Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587017669",
"country_code": "US",
"telephone_number": "701-857-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 3rd Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587013880",
"country_code": "US",
"telephone_number": "701-857-5764",
"fax_number": "701-857-3557",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Goethals Dr Ste E",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523301",
"country_code": "US",
"telephone_number": "509-942-3095",
"fax_number": "509-942-3097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10535 Hospital Way",
"address_2": "SAC 112",
"address_purpose": "LOCATION",
"city": "Mather",
"state": "CA",
"postal_code": "956554200",
"country_code": "US",
"telephone_number": "916-843-7202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "EUGENE",
"middle_name": "S",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A78144",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "ID",
"license": "M-16547",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "ND",
"license": "18532",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60676859",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "MD60676859",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.