Individual provider Active NPI

Ashton Lee, M.D.

  • Vascular Surgery Physician
  • San Antonio, TX
National Provider Identifier
1801321757
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
T7279 Issued in TX
Practice address
12011 State Highway 151 Ste 202
San Antonio, TX 78251-1233
Phone
(210) 572-3317
Fax
(210) 477-0279
NPI assigned
Apr 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X T7279 TX Primary

Addresses

Primary practice location

12011 State Highway 151 Ste 202
San Antonio, TX 78251-1233

Mailing address

215 N San Saba Ste 301
San Antonio, TX 78207-3164
Phone (210) 212-8622

Other practice location 1

215 N San Saba Ste 201
San Antonio, TX 78207-3120
Phone (210) 547-3430

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
I20220618000063 TX Practitioner - Vascular Surgery 4880959964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Univ of Central Florida, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Reza Mizani MD PAGroup PAC ID 5294709689, 28 clinicians

Practice addresses (Care Compare)

12011 State Hwy 151
Suite 202
San Antonio, TX 78251-1233
Phone (210) 265-8155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7279TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M. Reza Mizani, M.D., P.a. Vascular Surgery CurrentSince Jul 2, 2022 Accepting new patients
M. Reza Mizani, M.D., P.a. CurrentSince Jul 2, 2022 Accepting new patients
M. Reza Mizani, M.D., P.a. Past Accepting new patients

Locations

205 22nd St
Hondo, TX 78861
Phone (830) 426-2753

12011 State Highway 151
Ste 202
San Antonio, TX 78251
Phone (210) 265-8155

11212 State Highway 151
Ste 320
San Antonio, TX 78251
Phone (210) 951-8339

215 N San Saba
Ste 201A
San Antonio, TX 78207
Phone (210) 547-3430

215 N San Saba
Ste 201
San Antonio, TX 78207
Phone (210) 547-3430

215 N San Saba
Ste 206
San Antonio, TX 78207
Phone (210) 477-3271

8115 Datapoint Dr
Ste 200
San Antonio, TX 78229

343 W Houston St
Ste 609
San Antonio, TX 78205
Phone (210) 212-4595

215 N San Saba
Ste 301
San Antonio, TX 78207
Phone (210) 212-8984

Organizations & group practices 3

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1801321757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N SAN SABA STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073164",
            "telephone_number": "210-212-8622",
            "fax_number": "210-212-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 STATE HIGHWAY 151 STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511233",
            "telephone_number": "210-572-3317",
            "fax_number": "210-477-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N San Saba Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073120",
            "country_code": "US",
            "telephone_number": "210-547-3430",
            "fax_number": "210-229-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ASHTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2023-11-01",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "T7279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.