Individual provider Active NPI

Seung Hee Suzie Lee, MD

  • Transplant Surgery Physician
  • Dallas, TX
National Provider Identifier
1851734784
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
S9020 Issued in TX
Practice address
3410 Worth St Ste 950
Dallas, TX 75246-2064
Phone
(214) 820-2050
Fax
(214) 818-6491
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2018014586 MO
Transplant Surgery Physician 204F00000X 2018014586 MO
Transplant Surgery Physician 204F00000X S9020 TX Primary

Addresses

Primary practice location

3410 Worth St Ste 950
Dallas, TX 75246-2064

Mailing address

3410 Worth St Ste 950
Dallas, TX 75246-2064
Phone (214) 820-2050

Other practice location 1

4921 Parkview Pl
Ste 8C
Saint Louis, MO 63110-1032
Phone (314) 747-9889

Other identifiers 1

IdentifierTypeStateIssuer
S9020OtherTXTX MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slee766657@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210303002294 TX Practitioner - General Surgery 6608166509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Pittsburgh School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3410 Worth St
950 Baylor Scott and White Neuro Oncology
Dallas, TX 75246-2064
Phone (214) 820-2050

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018014586MOMDTransplant Surgery Physician
S9020TXMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 29, 2021 Accepting new patients
Healthtexas Provider Network Surgery Current Accepting new patients
Healthtexas Provider Network CurrentSince Mar 29, 2021 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

3410 Worth St
Ste 950
Dallas, TX 75246
Phone (214) 820-2050

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1505 W Jefferson St
Ste 160
Waxahachie, TX 75165
Phone (214) 820-1748

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1851734784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST STE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462064",
            "telephone_number": "214-820-2050",
            "fax_number": "214-818-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST STE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462064",
            "telephone_number": "214-820-2050",
            "fax_number": "214-818-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 Parkview Pl",
            "address_2": "Ste 8C",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101032",
            "country_code": "US",
            "telephone_number": "314-747-9889",
            "fax_number": "314-361-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SEUNG HEE",
        "middle_name": "SUZIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2018014586",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MO",
            "license": "2018014586",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "S9020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "S9020",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slee766657@direct.sw.org",
            "affiliation": "N",
            "address_1": "3410 Worth St Ste 950",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.