Individual provider Active NPI

Emmanuel John Lee, M. D.

  • Family Medicine Physician
  • Rollingwood, TX
National Provider Identifier
1821163122
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4274 Issued in TX
Practice address
3001 Bee Caves Rd
Suite 210
Rollingwood, TX 78746
Phone
(512) 434-0037
Fax
(512) 434-0037
NPI assigned
Nov 21, 2006
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M4274 TX Primary

Addresses

Primary practice location

3001 Bee Caves Rd
Suite 210
Rollingwood, TX 78746

Mailing address

3001 Bee Caves Rd
Suite 210
Rollingwood, TX 78746
Phone (512) 434-0037

Other identifiers 1

IdentifierTypeStateIssuer
M4274OtherTXLISCENSE NUMBER

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
I20070502000285 TX Practitioner - Family PracticePractitioner - General Practice 8729184171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3001 Bee Caves Rd
Rollingwood, TX 78746-5590
Phone (512) 434-0037

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abksw Central Texas Preferred Health Partners PLLC CurrentSince Jul 1, 2023 Accepting new patients
Concierge Health of Austin PLLC Family Medicine CurrentSince Jun 26, 2025 Accepting new patients
Ascension Seton Family Medicine Past Accepting new patients

Locations

1305 W 34th St
Ste 204
Austin, TX 78705
Phone (512) 243-6868

3417 Gaston Ave
Ste 700
Dallas, TX 75246
Phone (214) 823-4800

3001 Bee Caves Rd
Ste 210
Rollingwood, TX 78746
Phone (512) 327-2729

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHIDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHIDD/Endpoint/BCHIDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1821163122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BEE CAVES RD",
            "address_2": "SUITE 210",
            "city": "ROLLINGWOOD",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-434-0037",
            "fax_number": "512-434-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BEE CAVES RD",
            "address_2": "SUITE 210",
            "city": "ROLLINGWOOD",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-434-0037",
            "fax_number": "512-434-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EMMANUEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-08-15",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE NUMBER",
            "identifier": "M4274",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rollingwood, TX

Sources for this page

Verify at the official NPI Registry.