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SAMUEL JAE LEE MD
NPI 1548720279
Internal Medicine in Philadelphia, PA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
4417 N 6TH ST, PHILADELPHIA, PA 19140(215) 302-3600 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 29, 2024, Jan 7, 2024, May 9, 2022 and 2 more (5 updates tracked since 2019).

About Samuel Jae Lee Md NPPES

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

SAMUEL JAE LEE MD (NPI 1548720279) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD482126) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Eastern Virginia Medical School (2019).

NPPES Registry Identity

NPI1548720279
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL JAE LEECredential: MD
Location Address4417 N 6TH STPhiladelphia, PA 19140-2319
Mailing Address4417 N 6th StPhiladelphia, PA 19140-2319 · (215) 302-3600
Phone(215) 302-3600
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateJune 29, 20245 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1548720279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD482126✔ Licensed in CA · A177467
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4417 N 6TH ST, Philadelphia, PA 19140
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Jae Lee Md 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 ID9537577077
PECOS Enrollment IDI20230918001943
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DOMINIC DERENGE D.O.
Family Medicine
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-6000
DHIVYA T PATTANIYIL MSN, CRNP
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
HELEN MUTOKO
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
MARY SIMMS LPC
Counselor (Mental Health)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
OANH HOANG VO CRNP
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
KERITH DUGGAN CRNP
Nurse Practitioner (Pediatrics)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
ESPERANZA HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4417 N 6TH ST, ESPERANZA HEALTH CEN
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3150
CHRISTINA ELYSE DERENGE PSYD
Psychologist
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600

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 Samuel Lee's NPI number?

The NPI number for Samuel Lee is 1548720279. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Samuel Lee located?

Samuel Lee practices at 4417 N 6th St, Philadelphia, PA 19140. The listed phone number is (215) 302-3600.

What is Samuel Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Lee enrolled in Medicare?

Yes. Samuel 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.

Is Samuel Lee affiliated with any hospitals?

According to CMS data, Samuel Lee is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Lee was last updated on June 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.