SUJIN SEO DO
NPI 1114721511
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Active since April 03, 2025PECOS Enrolled
2131 S 17TH ST, WILMINGTON, NC 28401(910) 343-7000 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sujin Seo Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJIN SEO DO (NPI 1114721511) is an individual student in an organized health care education/training program in Wilmington, North Carolina and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114721511
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUJIN SEOCredential: DO
Location Address2131 S 17TH STWilmington, NC 28401-7407
Mailing Address1210 Lily Cache Ln Apt 112Bolingbrook, IL 60490-4601 · (480) 440-1725
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
NPI 1114721511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2131 S 17TH ST, Wilmington, NC 28401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sujin Seo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Hospital
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Practitioner (Neonatal, Critical Care)
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Family Medicine
2131 S 17TH ST
WILMINGTON, NC 28401
Registered Nurse (Critical Care Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Practitioner
2131 S 17TH ST
WILMINGTON, NC 28401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujin Seo's NPI number?

The NPI number for Sujin Seo is 1114721511. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Sujin Seo located?

Sujin Seo practices at 2131 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 343-7000.

What is Sujin Seo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sujin Seo enrolled in Medicare?

Yes. Sujin Seo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sujin Seo was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.