SHANE LEE MD NPI 1104067651

NPI Information

  • NPI: 1104067651
  • Provider Name: SHANE LEE, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3401 N BROAD ST
    PHILADELPHIA, PA
    ZIP 19140
  • Phone: (215) 707-7237

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NPI Details

Shane Lee, MD is a vascular and interventional radiology radiology in Philadelphia, PA with 19 years of experience. The provider is 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, MD NPI is 1104067651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year:2007

The provider's business location address is:

3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-7237
Fax: (215) 707-9389

The NPI 1104067651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Review by radiologist of image for replacement of stomach or large bowel tube (HCPCS:75984)
  • Replacement of kidney drainage tube using imaging guidance with review by radiologist (HCPCS:50435)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • Removal of central venous tube with port or pump (HCPCS:36590)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Limited ultrasound scan of abdomen (HCPCS:76705)

The enumeration date for this NPI number is 3/12/2009 and was last updated on 10/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyMD449493PENNSYLVANIANo
22085R0202XRadiologyDiagnostic Radiology203BR0202XPENNSYLVANIANo
32085R0204XRadiologyVascular & Interventional Radiology25MA09357700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10383686MEDICAIDNEW JERSEY
2102844548MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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