Seung Kwon Lee, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C54971 Issued in CA

Practice address

7807 Laguna Blvd Ste 480
Elk Grove, CA 95758-7953

Phone

(916) 242-8499

Fax

(916) 405-7440

NPI assigned

Jun 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: slee228133@hisp.ehr.sutterhealth.org

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.

• S. Kwon Lee, MD, Inc

  • Surgery Physician
  • Elk Grove, CA
  • NPI 1851661953
  Medicare reassignment NPD
• Revive Pain & Spine Center Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carmichael, CA
  • NPI 1063991685
  NPD (past)
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)
• Lee Warner Medical Interventions, LTD.

  • Specialist
  • Hammond, IN
  • NPI 1942240296

  Surgery

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Northeast Surgical Associates of Ohio LTD

  • Surgery Physician
  • Independence, OH
  • NPI 1184956138
  NPD (past)
• Northeast Surgical Associates of Ohio Wound Speciality Services LTD

  • Nurse Practitioner
  • Independence, OH
  • NPI 1073767315
  NPD (past)

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1700880267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583211",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580057",
            "telephone_number": "916-242-8499",
            "fax_number": "916-405-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 LAGUNA BLVD STE 480",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587953",
            "telephone_number": "916-242-8499",
            "fax_number": "916-405-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNG KWON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C54971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Lee
• Nicole Lee
• PA Lee
• Panda Lee
• Rebecca Lee, M.D.
• Stacy Lee
• Suegene Lee
• Thealy Lee
• Tony Saanseng Lee, LMFT
• Tou Lee

• Surgery Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.

Verify at the official NPI Registry.