Active NPI
Sujin Lee, M.D
- Spinal Cord Injury Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- ME166169
- Practice address
- 3599 University Blvd S
Jacksonville, FL 32216-4252 - Phone
- (904) 474-2101
- Fax
- (904) 345-7284
- NPI assigned
- Aug 30, 2010
- Last updated
- Jan 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A121810 | CA | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | ME166169 | FL | Primary |
Addresses
Primary practice location
3599 University Blvd S
Jacksonville, FL 32216-4252
Mailing address
3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 474-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, PA, TX, NJ, NY, ME, MN, CO, FL, WI, IL, VA, GA, MO, MI, MA, WA, OH, TN, DE, DC, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 23
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of California, San Diego School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 Broadway
Suite 300
Oakland, CA 94607-4167
Phone (925) 460-9191
12141 Hermon Dr
Tustin, CA 92782-1249
Phone (888) 691-5818
3513 Brighton Blvd
Suite 457
Denver, CO 80216-3810
Phone (720) 740-2520
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121810 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NGX Illinois SC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| NGX Lehi Utah PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Lin Health Medical Group of California, P.C. | Current | Accepting new patients | |
| Geniemd Medical Group, Mo, P.C. | Internal Medicine | Current | Accepting new patients |
| Conviva Medical Center Management LLC | Internal Medicine | Current | Accepting new patients |
| Physical Medicine Specialists, Inc. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Jason R Koh DO Inc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Long Beach Memorial Medical | Past | Accepting new patients |
Locations
1111 Broadway
Ste 300
Oakland, CA 94607
Phone (281) 948-8014
6612 Owens Dr
Pleasanton, CA 94588
Phone (928) 460-9191
99 Almaden Blvd
San Jose, CA 95113
Phone (707) 641-6006
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
3513 Brighton Blvd
Ste 457
Denver, CO 80216
Phone (720) 740-2520
29335 US Highway 19 N
Clearwater, FL 33761
Phone (727) 202-5111
3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600
3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7251
456 Nelson Rd
New Lenox, IL 60451
2780 W Main St
St Charles, IL 60175
1010 S 1100 W
Lehi, UT 84043
Phone (385) 501-2433
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Oakland, CA
- NPI 1639710643
-
- Pain Medicine Physician
- San Jose, CA
- NPI 1538841101
-
dba Brooks Rehabilitation Medical Group
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1952343261
-
- Multi-Specialty Clinic/Center
- New York, NY
- NPI 1356055016
CO, DC, GA, IL, MA, MN, MO, VA, WA, WI
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
- Physical Medicine & Rehabilitation Physician
- New Lenox, IL
- NPI 1194438515
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1497483226
-
- Physical Medicine & Rehabilitation Physician
- Long Beach, CA
- NPI 1447566799
-
dba Miller Children's Hospital
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Brooks Rehabilitation Hospital Bartram Campus
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
dba Brooks Rehabilitation
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769817600000",
"number": "1073829909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164252",
"telephone_number": "904-474-2101",
"fax_number": "904-345-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164252",
"telephone_number": "904-474-2101",
"fax_number": "904-345-7284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUJIN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2026-01-31",
"certification_date": "2026-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A121810",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "FL",
"license": "ME166169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.