Active NPI
Douglas Y Lee, D.O.
- Radiation Oncology Physician
- Fort Sam Houston, TX
National Provider Identifier
1851654172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 1073
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-5046
- NPI assigned
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | OS019478 | PA | |
| General Practice Physician | 208D00000X | 1073 | NE | |
| Radiation Oncology Physician | 2085R0001X | 1073 | NE | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
333 Cottman Ave
Philadelphia, PA 19111-2497
Phone (215) 728-3883
Other practice location 1
333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (215) 728-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1448 Common St
New Braunfels, TX 78130-3162
Phone (830) 643-1762
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1073 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Radiation Oncology | Current | Accepting new patients |
Locations
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1448 E Common St
New Braunfels, TX 78130
Phone (830) 643-1762
1308 Wonder World Dr
San Marcos, TX 78666
Phone (512) 396-5199
Interoperability endpoints
- douglas.lee@txo.ikm.direct-ci.com
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
- NPI 1609358563
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seguin, TX
- NPI 1720088123
-
- General Acute Care Hospital
- Seguin, TX
- NPI 1780529966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1851654172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191112497",
"telephone_number": "215-728-3883",
"fax_number": "215-728-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-5046"
}
],
"practiceLocations": [
{
"address_1": "333 Cottman Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112434",
"country_code": "US",
"telephone_number": "215-728-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "DOUGLAS",
"middle_name": "Y",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "OS019478",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "1073",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NE",
"license": "1073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.