Individual provider Active NPI

Elizabeth Soon Lee, MD

  • Plastic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1770845893
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
60718 Issued in AZ
Practice address
7436 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone
(520) 297-3300
Fax
(520) 888-2698
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 60718 AZ Primary

Addresses

Primary practice location

7436 N la Cholla Blvd
Tucson, AZ 85741-2306

Mailing address

PO Box 13627
Tucson, AZ 85732-3627
Phone (520) 750-7255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elee196312@direct.tmcaz.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200729001163 AZ Practitioner - Plastic and Reconstructive Surgery 0648695395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Arizona College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Community Surgeons, PCGroup PAC ID 0446274997, 14 clinicians

Practice addresses (Care Compare)

7436 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 297-3300

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

Merit-based Incentive Payment System (MIPS)

Final score
54.73 of 100Reported as group
Quality
55.28
Promoting interoperability
0
Improvement activities
40
Cost
77.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy21
Melanoma (skin cancer) excision124
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Surgeons PC Surgery CurrentSince Jul 1, 2021 Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

6506 E Carondelet Dr
Bldg A
Tucson, AZ 85710
Phone (520) 885-6717

4539 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 750-7255

6320 N La Cholla Blvd
Ste 380
Tucson, AZ 85741
Phone (520) 219-8690

7436 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 297-3300

Interoperability endpoints

  • Direct secure messaging: elee27429@direct.vumc.org

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 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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1770845893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13627",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857323627",
            "telephone_number": "520-750-7255",
            "fax_number": "520-545-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7436 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-297-3300",
            "fax_number": "520-888-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELIZABETH",
        "middle_name": "SOON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "60718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elee196312@direct.tmcaz.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7436 N La Cholla Blvd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857412306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.