Active NPI
Sukyong Rhee, NP
- Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71004930A
- Practice address
- 1500 N Ritter Ave
Indianapolis, IN 46219-3027 - Phone
- (317) 355-2560
- Fax
- (317) 355-2418
- NPI assigned
- Apr 2, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28165403A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71004930A | IN | |
| Nurse Practitioner | 363L00000X | 71004930A | IN | Primary |
Addresses
Primary practice location
1500 N Ritter Ave
Indianapolis, IN 46219-3027
Mailing address
6626 E 75TH Street
Ste 500
Indianapolis, IN 46250-2890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201235560 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srhee122941@eCommunityDirect.com | Community Health Network, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28165403A | IN | MD | Registered Nurse |
| 71004930A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Network, Inc | Current | Accepting new patients | |
| Indiana Behavioral Innovations LLC | Current | Accepting new patients | |
| Community Howard Regional Health Inc | Current | Accepting new patients | |
| Community Health Network, Inc | Current | Accepting new patients | |
| Community Health Network, Inc. | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
322 N Main St
Kokomo, IN 46901
Phone (765) 453-8238
1051 Southfield Dr
Plainfield, IN 46168
Phone (844) 991-9900
Interoperability endpoints
- srhee122941@ecommunitydirect.com
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kokomo, IN
- NPI 1881947133
-
- Psychiatric Hospital
- Plainfield, IN
- NPI 1922614825
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1265477632
-
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1679545966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1154749638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH STREET",
"address_2": "STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N RITTER AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193027",
"telephone_number": "317-355-2560",
"fax_number": "317-355-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEE",
"first_name": "SUKYONG",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2023-11-27",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28165403A",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71004930A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71004930A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201235560",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srhee122941@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Health Network, Inc",
"address_1": "6950 Hillsdale Ct",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462502040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.