NPIMap

Individual provider Active NPI

Brian E Lee, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1881768596
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12072 Issued in NV
Practice address
4409 S Pecos Rd
Las Vegas, NV 89121-5029
Phone
(702) 434-6336
Fax
(702) 436-7912
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12072 NV Primary
Pain Medicine Physician 208VP0000X 12072 NV

Addresses

Primary practice location

4409 S Pecos Rd
Las Vegas, NV 89121-5029

Mailing address

PO Box 621406
Las Vegas, NV 89162-1406
Phone (702) 434-6336

Other identifiers 1

IdentifierTypeStateIssuer
100511749MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828001049 NV Practitioner - Internal Medicine 2860584323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4409 S Pecos Rd
Las Vegas, NV 89121-5029
Phone (702) 434-6336

Hospital & facility affiliations

  • Maxicare Homehealth Inc Home health agency, Las Vegas, NV, CCN 297192
  • Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143
  • First Care Home Health Inc Home health agency, Las Vegas, NV, CCN 297178
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12072NVMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian E Lee MD LTD Internal Medicine CurrentSince Aug 1, 2007 Accepting new patients
Shelin Agrawal and Hyer PLLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

4409 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 434-6336

Organizations & group practices 7

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 5

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1881768596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621406",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891621406",
            "telephone_number": "702-434-6336",
            "fax_number": "702-436-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215029",
            "telephone_number": "702-434-6336",
            "fax_number": "702-436-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRIAN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12072",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NV",
            "license": "12072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511749",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.