Individual provider Active NPI

Edward Y. Lee, MD

  • Emergency Medicine Physician
  • Round Rock, TX
National Provider Identifier
1912940867
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L5430 Issued in TX
Practice address
300 University Blvd
Round Rock, TX 78665-1032
Phone
(512) 509-0100
Fax
(512) 218-6330
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L5430 TX Primary

Addresses

Primary practice location

300 University Blvd
Round Rock, TX 78665-1032

Mailing address

PO Box 840003
Dallas, TX 75284-0003
Phone (254) 724-2111

Other practice location 1

290 W Ben White Blvd
Dept. of Emergency Medicine
Austin, TX 78704-7153
Phone (512) 448-7160

Other identifiers 2

IdentifierTypeStateIssuer
158057302MedicaidTX
158057301MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elee268604@direct.sw.org Direct

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
I20090116000045 TX Practitioner - Emergency Medicine 2668439241 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5430TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Associates LLC Emergency Medicine CurrentSince Jul 27, 2016 Accepting new patients
Scott & White Hospital - Taylor Emergency Medicine CurrentSince Nov 2, 2023 Accepting new patients
Scott & White Hospital - Taylor Current Accepting new patients
Scott & White Hospital - Taylor CurrentSince Nov 2, 2023 Accepting new patients
Scott & White Clinic Emergency Medicine Current Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Sep 15, 2023 Accepting new patients
Scott and White Clinic Emergency Medicine CurrentSince Nov 2, 2023 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Nov 2, 2023 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Feb 15, 2015 Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine CurrentSince Nov 10, 2016 Accepting new patients
Capitol City Emergency Staffing PA Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3201 Highway 71 E
Bastrop, TX 78602
Phone (512) 321-8200

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

300 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

305 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: elee268604@direct.sw.org

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1912940867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840003",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840003",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UNIVERSITY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651032",
            "telephone_number": "512-509-0100",
            "fax_number": "512-218-6330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 W Ben White Blvd",
            "address_2": "Dept. of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787047153",
            "country_code": "US",
            "telephone_number": "512-448-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EDWARD",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L5430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158057302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158057301",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elee268604@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 University Blvd",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786651032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.