NPIMap

Individual provider Active NPI

Meng-Chao Lee, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1003836768
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS012030 Issued in PA
Practice address
7500 Central Ave Ste 104
Philadelphia, PA 19111-2431
Phone
(215) 742-0712
Fax
(215) 742-5218
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X OS012030 PA
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS012030 PA Primary

Addresses

Primary practice location

7500 Central Ave Ste 104
Philadelphia, PA 19111-2431

Mailing address

2450 W Hunting Park Ave
2ND Tpi
Philadelphia, PA 19129-1302
Phone (215) 926-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040917000251 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 2567430614 Reassigns benefits to 2 organizations
I20220506001345 IL Practitioner - Geriatric Medicine 2567430614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

240 Mall Blvd
Bloomsburg, PA 17815-8389
Phone (570) 416-5435

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012030PAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc. CurrentSince Sep 28, 2015 Accepting new patients
Temple Physician Inc. CurrentSince Sep 28, 2015 Accepting new patients
Geisinger Clinic Current Accepting new patients
Temple Physicians Inc Current Accepting new patients
Geisinger Clinic CurrentSince Jan 6, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince Apr 1, 2022 Accepting new patients
Geisinger Clinic CurrentSince Jan 6, 2025 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Clinical Staffing Solutions P.C. Past Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc Geriatric Medicine Past Accepting new patients
Montgomery County Treas Court House Past Accepting new patients
Hera Inpatient Services Past Accepting new patients

Locations

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

240 Mall Blvd
Bloomsburg, PA 17815
Phone (570) 416-5435

100 N Academy Ave
Danville, PA 17822

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

10100 Jamison Ave
Rm 227
Philadelphia, PA 19116
Phone (215) 969-1404

7500 Central Ave
Ste 104
Philadelphia, PA 19111
Phone (215) 742-0712

6449 Rising Sun Ave
Philadelphia, PA 19111
Phone (215) 745-7870

Interoperability endpoints

  • Direct secure messaging: mlee620641@direct.geisinger.edu

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1003836768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "address_2": "2ND TPI",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-926-9010",
            "fax_number": "215-226-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CENTRAL AVE STE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112431",
            "telephone_number": "215-742-0712",
            "fax_number": "215-742-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MENG-CHAO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "OS012030",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS012030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.