Individual provider Active NPI

Michael Anthony Lee, M.D.

  • Diagnostic Radiology Physician
  • Keller, TX
National Provider Identifier
1760436414
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K9328 Issued in TX
Practice address
804 Lakeridge Dr
Keller, TX 76248-8409
Phone
(817) 498-4921
Fax
(817) 428-9768
NPI assigned
May 19, 2006
Last updated
Nov 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X K9328 TX Primary

Addresses

Primary practice location

804 Lakeridge Dr
Keller, TX 76248-8409

Mailing address

804 Lakeridge Dr
Keller, TX 76248-8409
Phone (817) 498-4921

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
I20040427001646 TX Practitioner - Diagnostic Radiology 4688661135 Practice locations: Keller, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 2, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 2, 2011 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 3, 2014 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 9, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 2, 2012 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 16, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 2, 2011 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 9, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 2, 2011 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 19, 2012 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners, LLC CurrentSince Oct 17, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 2, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 13, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2023 Accepting new patients

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1760436414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LAKERIDGE DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488409",
            "telephone_number": "817-498-4921",
            "fax_number": "817-428-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LAKERIDGE DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488409",
            "telephone_number": "817-498-4921",
            "fax_number": "817-428-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K9328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.