Organization Active NPI

Serei Y. Lee, DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Corpus Christi, TX
National Provider Identifier
1962656728
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1817 Issued in TX
Legal business name
SEREI Y. LEE, DPM PA
Practice address
2727 Morgan Ave Ste 400
Corpus Christi, TX 78405-1825
Phone
(361) 883-5955
Fax
(361) 882-3365
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Dr. Serei Y Lee, DPMNPI 1306959051
Title
Podiatrist
Phone
(361) 883-5955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1817 TX Primary

Addresses

Primary practice location

2727 Morgan Ave Ste 400
Corpus Christi, TX 78405-1825

Mailing address

2727 Morgan Ave Ste 400
Corpus Christi, TX 78405-1825
Phone (361) 883-5955

Other identifiers 1

IdentifierTypeStateIssuer
6176260001OtherTXDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090326000525 TX Part B Supplier - Clinic/Group Practice 0042377566 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsville, TX; Rockport, TX; Mission, TX; Corpus Christi, TX
O20100930099148 TX DME Supplier - Physician - Podiatry 0042377566 Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Locations

2601 Hospital Blvd
Ste 106
Corpus Christi, TX 78405
Phone (361) 879-0366

2727 Morgan Ave
Ste 400
Corpus Christi, TX 78405
Phone (361) 883-5955

509 E King Ave
Kingsville, TX 78363
Phone (361) 595-4130

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1962656728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MORGAN AVE STE 400",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051825",
            "telephone_number": "361-883-5955",
            "fax_number": "361-882-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MORGAN AVE STE 400",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051825",
            "telephone_number": "361-883-5955",
            "fax_number": "361-882-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEREI Y. LEE, DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEREI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "361-883-5955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6176260001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.