Individual provider Active NPI

Sujin Lee, M.D

  • Spinal Cord Injury Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1073829909
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
ME166169 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, UT23 enrollments
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 23

Enrollment IDStateProvider typePAC IDDetails
I20240301000000 CA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 2567708985 Reassigns benefits to 3 organizations
I20240923002225 PA Practitioner - Medical OncologyPractitioner - Internal Medicine 2567708985
I20240925002587 TX Practitioner - Physical Medicine and Rehabilitation 2567708985
I20240930001048 NJ Practitioner - Medical OncologyPractitioner - Internal Medicine 2567708985
I20241001000394 NY Practitioner - Internal MedicinePractitioner - Medical Oncology 2567708985
I20241003003003 ME Practitioner - Physical Medicine and Rehabilitation 2567708985
I20241010003897 MN Practitioner - Physical Medicine and Rehabilitation 2567708985
I20241011002569 CO Practitioner - Physical Medicine and Rehabilitation 2567708985 Reassigns benefits to 2 organizations
I20241023003385 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Medical Oncology 2567708985 Reassigns benefits to 1 organization
I20241030003144 WI Practitioner - Internal Medicine 2567708985 Reassigns benefits to 1 organization
I20241106003402 IL Practitioner - Physical Medicine and Rehabilitation 2567708985 Reassigns benefits to 1 organization
I20241112000821 VA Practitioner - Internal Medicine 2567708985 Reassigns benefits to 1 organization
I20241113002837 GA Practitioner - Internal Medicine 2567708985 Reassigns benefits to 1 organization
I20241113004220 MO Practitioner - Medical OncologyPractitioner - Internal Medicine 2567708985 Reassigns benefits to 1 organization
I20241113004377 MI Practitioner - Medical OncologyPractitioner - Internal Medicine 2567708985
I20241114004245 MA Practitioner - Internal Medicine 2567708985 Reassigns benefits to 1 organization
I20241121003237 WA Practitioner - Internal Medicine 2567708985 Reassigns benefits to 1 organization
I20241204000722 MN Practitioner - Internal Medicine 2567708985 Reassigns benefits to 1 organization
I20241209003664 OH Practitioner - Physical Medicine and Rehabilitation 2567708985
I20241210004730 TN Practitioner - Physical Medicine and Rehabilitation 2567708985
I20241220001104 DE Practitioner - Internal Medicine 2567708985
I20241220002390 DC Practitioner - Internal Medicine 2567708985 Reassigns benefits to 1 organization
I20241231002563 UT Practitioner - Physical Medicine and Rehabilitation 2567708985

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
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
Geniemd Medical Group Mo PCGroup PAC ID 5193190072, 24 clinicians
Lin Health Medical Group PAGroup PAC ID 1557726932, 7 clinicians
Lin Health Medical Group of California PCGroup PAC ID 4981122587, 3 clinicians

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

LicenseStateTypeSpecialty
A121810CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NGX Illinois SC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2024 Accepting new patients
NGX Lehi Utah PC Physical Medicine & Rehabilitation CurrentSince Oct 7, 2024 Accepting new patients
Lin Health Medical Group of California, P.C. CurrentSince Apr 1, 2025 Accepting new patients
Geniemd Medical Group, Mo, P.C. Internal Medicine CurrentSince Jan 15, 2024 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Sep 23, 2024 Accepting new patients
Physical Medicine Specialists, Inc. Physical Medicine & Rehabilitation CurrentSince Feb 1, 2026 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.