IndividualActive
Jerry Lee, M.D.
NPI 1124262969 · Pediatrics Physician · Philadelphia, PA
Jerry Lee, M.D. is a Pediatrics Physician provider in Philadelphia, PA (NPI 1124262969).
Provider details
- NPI number
- 1124262969
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD434275 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3401 Civic Center Blvd
Children'S Hospital of Philadelphia - General Peds
Philadelphia, PA 19104-4319
Phone: (215) 590-2164
Fax: (215) 590-2180
Street-level locationGet directions
Mailing address
100 E Penn Sq
Philadelphia, PA 19107-3323
Registry dates
- Enumerated
- 2009-04-23
- Last updated
- 2013-05-30
Frequently asked questions
- What is Jerry Lee's NPI number?
- Jerry Lee's National Provider Identifier (NPI) is 1124262969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Lee's specialty?
- Jerry Lee is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry Lee located?
- Jerry Lee's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319.
- What is Jerry Lee's phone number?
- The practice phone number listed in the NPPES registry for Jerry Lee is (215) 590-2164.
- Is Jerry Lee's NPI active?
- Yes — Jerry Lee's NPI (1124262969) is active in the NPPES registry as of the last update on 2013-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.