Individual provider Active NPI

Suzanne Lee, M.D.

  • Family Medicine Physician
  • Brigham City, UT
National Provider Identifier
1962660969
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8088255-1205 Issued in UT
Practice address
980 S 500 W Ste 1
Brigham City, UT 84302-3094
Phone
(435) 723-8276
Fax
(877) 497-4661
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-10750 ID
Family Medicine Physician 207Q00000X 8088255-1205 UT Primary

Addresses

Primary practice location

980 S 500 W Ste 1
Brigham City, UT 84302-3094

Mailing address

2621 S 3270 W Ste 110
West Valley City, UT 84119-1119
Phone (385) 261-2614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20120220000693 UT Practitioner - Family Practice 2769650126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

440 W 600
Tremonton, UT 84337-2400
Phone (844) 248-4110

980 S 500
Brigham City, UT 84302-3094
Phone (435) 723-8276

Hospital & facility affiliations

  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10750IDMDFamily Medicine Physician
8088255-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince May 2, 2015 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince May 2, 2015 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Community Health Centers, Inc. Family Medicine Past Accepting new patients
Community Health Centers, Inc. Family Medicine Past Accepting new patients

Locations

980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405

2621 S 3270 W
Ste 110
West Valley City, UT 84119

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

Interoperability endpoints

  • Direct secure messaging: suzanne.lee@chcsl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

Organizations & group practices 6

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1962660969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S 3270 W STE 110",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841191119",
            "telephone_number": "385-261-2614",
            "fax_number": "877-497-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 S 500 W STE 1",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023094",
            "telephone_number": "435-723-8276",
            "fax_number": "877-497-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10750",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "8088255-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

Verify at the official NPI Registry.