Active NPI
Sungchun Lee, M.D.
- Nephrology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 32799
- Practice address
- 21410 N 19TH Ave
Suite 131
Phoenix, AZ 85027-2738 - Phone
- (623) 780-1371
- Fax
- (623) 780-1393
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 32799 | AZ | Primary |
Addresses
Primary practice location
21410 N 19TH Ave
Suite 131
Phoenix, AZ 85027-2738
Mailing address
6622 N 91St Ave
Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 858889 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21410 N 19TH Ave
Suite 131
Phoenix, AZ 85027-2759
Phone (623) 780-1371
Hospital & facility affiliations
- 032587 Deer Valley Dialysis (FMC)
- DaVita Arrowhead Lakes Dialysis Center
- Honorhealth Deer Valley Medical Center
- Honorhealth Sonoran Crossing Medical Center
- Abrazo Arrowhead Hospital
- Banner Thunderbird Medical Center
- Honor Health John C. Lincoln Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.2 of 100
- Quality
- 67.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32799 | AZ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covid Laboratories LLC | Current | Accepting new patients | |
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Akdhc Surgery Center, LLC | Nephrology | Current | Accepting new patients |
| Akdhc, LLC | Nephrology | Current | Accepting new patients |
| Northwest Tucson Dialysis LLC | Past | Accepting new patients | |
| Akdhc, LLC | Nephrology | Past | Accepting new patients |
| Akdhc, LLC | Nephrology | Past | Accepting new patients |
Locations (25 of 61)
525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498
213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330
1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200
2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011
1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381
451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997
100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659
2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460
16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131
13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800
18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277
5750 W Thunderbird Rd
Ste F680
Glendale, AZ 85306
Phone (602) 843-7171
6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883
6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668
13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538
2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772
1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358
13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200
10238 E Hampton Ave
Ste 504
Mesa, AZ 85209
Phone (480) 380-7897
1520 S Dobson Rd
Ste 304
Mesa, AZ 85202
Phone (480) 899-0767
6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922
1209 W Target Range Rd
Ste 104
Nogales, AZ 85621
Phone (520) 882-0696
1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300
1106 N Beeline Hwy
Payson, AZ 85541
Phone (928) 474-5286
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
Interoperability endpoints
- sungchun.lee.1@11625.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Nephrology Physician
- Phoenix, AZ
- NPI 1316902208
-
- Clinical Medical Laboratory
- Scottsdale, AZ
- NPI 1346868452
-
- Nephrology Physician
- Buckeye, AZ
- NPI 1053509760
-
- Nephrology Physician
- Tucson, AZ
- NPI 1073840922
-
- Nephrology Physician
- Bullhead City, AZ
- NPI 1487140539
-
- Nephrology Physician
- Mesa, AZ
- NPI 1205274735
-
- Nephrology Physician
- Phoenix, AZ
- NPI 1336338789
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tucson, AZ
- NPI 1972791424
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Phoenix, AZ
- NPI 1992817795
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Glendale, AZ
- NPI 1962685636
Dialysis facility
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1033112818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6622 N 91ST AVE",
"address_2": "STE 220",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052569",
"telephone_number": "602-759-6883",
"fax_number": "602-224-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21410 N 19TH AVE",
"address_2": "SUITE 131",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272738",
"telephone_number": "623-780-1371",
"fax_number": "623-780-1393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUNGCHUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AZ",
"license": "32799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "858889",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.