SHANE LEE MD – NPI #1104067651
Radiology
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
SHANE LEE is a radiologist located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1104067651 to SHANE LEE on March 12, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology
The NPI profile was last updated on Oct 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANE LEE below.
NPI Profile for
SHANE LEE
(more than 17 years ago)
PHILADELPHIA, PA 19140 Phone: (215) 707-7237 Fax: (215) 707-9389
3 Other location(s):
Hamilton, NJ 08691-3386
Phone: (609) 585-8800
Turnersville, NJ 08012-2453
Phone: (856) 582-2500
Philadelphia, PA 19111-2497
Phone: (215) 728-3883
Fax: (215) 728-1185
PHILADELPHIA, PA 19129-1302 Phone: (215) 707-7237 Fax: (215) 707-9389
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SHANE LEE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | NJ | 0383686 | |
| medicaid | PA | 102844548 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0204X - Radiology / Vascular & Interventional Radiology (Primary) |
PA | MD449493 |
| 2085R0202X - Radiology / Diagnostic Radiology |
PA | 203BR0202X |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
SHANE LEE is affiliated with the following medical group(s):
- HOSPITAL
- TEMPLE UNIVERSITY HOSPITAL3401 NORTH BROAD STREET
PHILADELPHIA, PA 19140
- TEMPLE UNIVERSITY HOSPITAL3401 NORTH BROAD STREET
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