DR. JESSE WEI-DIRK LEE M.D.
NPI 1174815005
Pediatrics - Pediatric Cardiology in San Antonio, TX

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207(210) 704-4882(210) 704-4527 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Nov 16, 2018, May 10, 2017 (3 updates tracked since 2017).

About Dr. Jesse Wei-dirk Lee M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSE WEI-DIRK LEE M.D. (NPI 1174815005) is an individual pediatric cardiology provider in San Antonio, Texas, licensed in Texas (R7258) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Loma Linda University School Of Medicine (2011).

NPPES Registry Identity

NPI1174815005
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JESSE WEI-DIRK LEECredential: M.D.
Location Address333 N SANTA ROSA STSan Antonio, TX 78207-3108
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (210) 704-4527
Fax(210) 704-4527
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2011
Enumeration DateMay 11, 2011
Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1174815005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in TX · R7258✔ Licensed in CA · A123480
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
333 N SANTA ROSA ST, San Antonio, TX 78207

Secondary Practice Location 1

Location 1200 Ucla Medical Plz Ste 330Los Angeles, CA 90095-3108 · Phone (310) 825-0867

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jesse Wei-dirk Lee M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971870460
PECOS Enrollment IDI20210809002953
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jesse Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
Transplant Surgery
2020 WELLNESS WAY, STE 506
Las Vegas, NV 89106
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA ST, SUITE F3725
SAN ANTONIO, TX 78207
Otolaryngology (Pediatric Otolaryngology)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Physician Assistant
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Pediatrics
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Dietitian, Registered
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207
Obstetrics & Gynecology
333 N SANTA ROSA ST
SAN ANTONIO, TX 78207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Lee's NPI number?

The NPI number for Jesse Lee is 1174815005. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Jesse Lee located?

Jesse Lee practices at 333 N Santa Rosa St, San Antonio, TX 78207. The listed phone number is (210) 704-4882.

What is Jesse Lee's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jesse Lee enrolled in Medicare?

Yes. Jesse Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jesse Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Lee reassigns Medicare benefits to 2 organizations: Baylor College Of Medicine (San Antonio, TX) and Faculty Physicians And Surgeons Of Llusm (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jesse Lee was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.