Individual provider Active NPI

Wha Joon Lee, MD

  • Specialist
  • Greenville, TX
National Provider Identifier
1609870534
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N3136 Issued in TX
Practice address
4000 Medical Pkwy
Greenville, TX 75401-7854
Phone
(903) 454-6481
Fax
(903) 454-6486
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N3136 TX Primary

Addresses

Primary practice location

4000 Medical Pkwy
Greenville, TX 75401-7854

Mailing address

4000 Medical Pkwy
Greenville, TX 75401-7854
Phone (903) 454-6481

Other identifiers 6

IdentifierTypeStateIssuer
P00107003OtherRR MEDICARE
78842OtherBLUE CROSS
P00085272OtherRR MEDICARE
204632801MedicaidTX
ME87364OtherWORKER'S COMP
268207900MedicaidFL

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
I20090811000061 TX Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 7810041845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Chicago College of Medicine and Surgery, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Ears Nose and Throat of Greenville PA 4 clinicians

Practice addresses (Care Compare)

4000 Medical Pkwy
Greenville, TX 75401-7854
Phone (903) 454-6481

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as group
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3136TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Ears Nose & Throat of Greenville PA CurrentSince Aug 1, 2009 Accepting new patients
The Ear Nose and Throat Surgical Associates PA Past Accepting new patients

Locations

4000 Medical Pkwy
Greenville, TX 75401
Phone (903) 454-6481

3000 Horizon Rd
Rockwall, TX 75032
Phone (903) 454-6481

Organizations & group practices 2

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 3

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1609870534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL PKWY",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017854",
            "telephone_number": "903-454-6481",
            "fax_number": "903-454-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL PKWY",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017854",
            "telephone_number": "903-454-6481",
            "fax_number": "903-454-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WHA JOON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N3136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00107003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "78842",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00085272",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204632801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "ME87364",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268207900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.