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Active NPI 1568486975 Individual Practitioner Male Practitioner

Dr. Modestus Lee , MD

Pediatrics • Greenwich, CT

Professional Overview & Biography Verified Profile Summary

Dr. Modestus Lee, MD is a registered healthcare professional specializing in Pediatrics in Greenwich, CT. Practice services are available at 5 PERRYRIDGE ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5 Perryridge Road
Greenwich Hospital Nicu

Greenwich, CT 068304697

Telephone 2038633542
Fax 2038633816
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Greenwich, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Greenwich, CT (1087 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CT 038874

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Neonatal-Perinatal Medicine

NUCC Taxonomy Code: 2080N0001X

State License CT 038874

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem
50GREENEOCT01 (CT)
Commercial Insurance / Payer ID Oxford
P1126523

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Amaris Keiser , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1427376466

Doctor of Medicine (M.D.)

Dr. Stylianos Theofanidis , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1912926908

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5 PERRYRIDGE ROAD, GREENWICH HOSPITAL NICU, GREENWICH, CT 068304697 (Tel: 2038633542)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 673, OLD GREENWICH, CT 068700673 (Tel: 2038633542)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MODESTUS LEE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #038874 in CT)

🟢
Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568486975
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

Po Box 673

Old Greenwich, CT 068700673

Phone: 2038633542

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.