Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Rae, MD

Individual provider Surgical Critical Care Physician · NPI 1801020987

Lisa Rae, MD is a General Surgery in Philadelphia, Pennsylvania. Graduated from Rowan University School of Osteopathic Medicine in 2006, 20 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
20
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (215) 707-3133
Fax: (215) 707-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD465010 (PA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence MD465010 (PA)

Record details

NPI number1801020987
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2009
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2006 (20 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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