Organization Active NPI

Regina K Lee MD PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1740432541
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8786 Issued in TX
Legal business name
REGINA K LEE MD PA
Practice address
10010 Westover Hills Blvd Ste 125
San Antonio, TX 78251-1968
Phone
(210) 682-9434
Fax
(210) 572-5748
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Regina K Lee, MDNPI 1487787461
Title
Physican
Phone
(210) 682-9434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X M8786 TX Primary

Addresses

Primary practice location

10010 Westover Hills Blvd Ste 125
San Antonio, TX 78251-1968

Mailing address

10010 Westover Hills Blvd Ste 125
San Antonio, TX 78251-1968
Phone (210) 682-9434

Other identifiers 2

IdentifierTypeStateIssuer
200442602MedicaidTX
200442601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000200 TX Part B Supplier - Clinic/Group Practice 3779642822 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1740432541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 WESTOVER HILLS BLVD STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511968",
            "telephone_number": "210-682-9434",
            "fax_number": "210-572-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 WESTOVER HILLS BLVD STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511968",
            "telephone_number": "210-682-9434",
            "fax_number": "210-572-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA K LEE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "210-682-9434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M8786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200442602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200442601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.