Individual provider Active NPI

Courtney Lee

  • Internal Medicine Physician
  • Wyncote, PA
National Provider Identifier
1265964159
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD471716 Issued in PA
Practice address
2401 W Cheltenham Ave Ste 205
Wyncote, PA 19095-2956
Phone
(215) 444-7471
Fax
(215) 695-2935
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD471716 PA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD471716 PA Primary

Addresses

Primary practice location

2401 W Cheltenham Ave Ste 205
Wyncote, PA 19095-2956

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Other practice location 1

3400 Spruce St
5 Maloney
Philadelphia, PA 19104-4238
Phone (215) 662-3797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924001731 PA Practitioner - Internal Medicine 9335485051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

2401 W Cheltenham Ave
Wyncote, PA 19095-2946
Phone (312) 600-8484

3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
University of Penn - Medical Group Internal Medicine Current Accepting new patients
University of Penn - Medical Group Internal Medicine CurrentSince Oct 14, 2020 Accepting new patients
Osh - PA Physicians Group, PC Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 14, 2020 Accepting new patients

Locations

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

3701 Market St
Ste 640
Philadelphia, PA 19104
Phone (215) 662-2250

3400 Spruce St
Fl 5
Philadelphia, PA 19104
Phone (215) 662-2777

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

2401 W Cheltenham Ave
Ste 205
Wyncote, PA 19095
Phone (215) 444-7471

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1265964159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W CHELTENHAM AVE STE 205",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190952956",
            "telephone_number": "215-444-7471",
            "fax_number": "215-695-2935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_2": "5 Maloney",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-662-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD471716",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD471716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyncote, PA

Sources for this page

Verify at the official NPI Registry.