Individual provider Active NPI

Joon Seok Suh, MD

  • Internal Medicine Physician
  • San Jose, CA
National Provider Identifier
1023644929
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
188442 Issued in CA
Practice address
2425 Samaritan Dr
San Jose, CA 95124-3997
Phone
(408) 559-2011
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 188442 CA Primary

Addresses

Primary practice location

2425 Samaritan Dr
San Jose, CA 95124-3997

Mailing address

2425 Samaritan Dr
San Jose, CA 95124-3997
Phone (408) 559-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231212001265 CA Practitioner - Internal Medicine 2466801725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Quantum Bay Area Hospitalist Medical Group IncGroup PAC ID 0648573378, 60 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-5557

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194

Merit-based Incentive Payment System (MIPS)

Final score
21.4 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188442CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Feb 25, 2026 Accepting new patients
Enloe Medical Center CurrentSince Feb 25, 2026 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Oct 30, 2023 Accepting new patients

Locations

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1023644929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243997",
            "telephone_number": "408-559-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243997",
            "telephone_number": "408-559-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "JOON SEOK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "CA",
            "license": "188442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.