SUNAH LEE
NPI 1205394186
Pediatrics in Los Angeles, CA

Active since March 09, 2019PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(312) 942-7100 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 2, 2022, Sep 16, 2019, Sep 6, 2019 and 1 more (4 updates tracked since 2019).

About Sunah Lee NPPES

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

SUNAH LEE (NPI 1205394186) is an individual pediatrics provider in Los Angeles, California, licensed in Texas (T5959) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205394186
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUNAH LEE
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address1400 N Edgemont St Apt 205Los Angeles, CA 90027-5948 · (847) 406-9032
Sole ProprietorNo
Enumeration DateMarch 9, 2019
Last NPPES UpdateMay 2, 20224 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1205394186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · T5959
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4650 W SUNSET BLVD, Los Angeles, CA 90027

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunah Lee 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.

Medicare Billing Reassignment

Medicare enrollment records show Sunah Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1415 CALIFORNIA ST
Houston, TX 77006
  • Reassigned Medicare billing, Texas enrollment
  • 402 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Sunah Lee's NPI number?

The NPI number for Sunah Lee is 1205394186. It was assigned to this individual provider in the NPPES registry on March 9, 2019.

Where is Sunah Lee located?

Sunah Lee practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (312) 942-7100.

What is Sunah Lee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sunah Lee enrolled in Medicare?

Yes. Sunah Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sunah Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunah Lee reassigns Medicare benefits to Legacy Community Health Services, Inc (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunah Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunah Lee accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Sunah Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sunah Lee was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.