DR. SUJI LEE
NPI 1245296094
Internal Medicine - Nephrology in Seattle, WA
NPI Status: Active since April 21, 2006
Contact Information
1570 N 115TH ST
SUITE 10
SEATTLE, WA
ZIP 98133
Phone: (206) 367-5252
Fax: (206) 367-5353
- Individual
- Female
- Internal Medicine
- Nephrology
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About SUJI LEE
This page provides the complete NPI Profile along with additional information for Suji Lee, an internist established in Seattle, Washington with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1245296094 assigned on April 2006. The practitioner's primary taxonomy code is 207RN0300X with license number MD00043470 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1245296094
- Provider Name
- DR. SUJI LEE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1570 N 115TH ST SUITE 10 SEATTLE, WA 98133
- Location Phone
- (206) 367-5252
- Location Fax
- (206) 367-5353
- Mailing Address
- 1570 N 115TH ST SUITE 10 SEATTLE, WA 98133
- Mailing Phone
- (206) 367-5252
- Mailing Fax
- (206) 367-5353
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-21-2006
- Last Update Date
- 08-20-2007
- Code Navigator
An internist like Suji Lee is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00043470
- License State
- WA
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8805901 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA | SNOHOMISH COUNTY |
| 8402612 | MEDICAID (05) | WA | |
| 8805899 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA | KING COUNTY |
| AB25201 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA | KING COUNTY GRP # |
| I12794 | MEDICARE UPIN (02) | WA | |
| AB25199 | MEDICARE ID-TYPE UNSPECIFIED (04) | WA | SNOHOMISH CTY GRP # |
Medicare Participation & PECOS Enrollment Status
Suji Lee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Dialysis services, 2-3 physician visits per month (20 years or older)
Dialysis services, 4 or more physician visits per month (20 years or older)
Established patient office or other outpatient visit, 30-39 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
New patient office or other outpatient visit, 45-59 minutes
Telephone medical discussion with physician, 11-20 minutes
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
This service was performed 20 times for 11 patientsDialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
This service was performed 48 times for 12 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 117 times for 63 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 86 times for 24 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 32 times for 32 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 25 times for 21 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98133 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $143.76
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $35.94
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $27.75
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| CDC Training on CDC's Guideline for Prescribing Opioids for Chronic Pain | Yes | N/A |
| Completion of all the modules of the Centers for Disease Control and Prevention (CDC) course “Applying CDC’s Guideline for Prescribing Opioids” that reviews the 2016 “Guideline for Prescribing Opioids for Chronic Pain.” Note: This activity may be selected once every 4 years, to avoid duplicative information given that some of the modules may change on a year by year basis but over 4 years there would be a reasonable expectation for the set of modules to have undergone substantive change, for the improvement activities performance category score. | ||
| Clinical Information Reconciliation | 82% | 150 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses. | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| Patient-Specific Education | 97% | 150 |
| The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 100% | 150 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | 359 |
| Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available) | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Send a Summary of Care | 100% | 150 |
| For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record. | ||
Reviews for DR. SUJI LEE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 9 | 6 | 0 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 9 | 12 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 9 + 1 + 2 + 0 + 1 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1245296094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
JAMES A JOKI MD
Obstetrics & Gynecology
1570 N 115TH ST
# 9
SEATTLE, WA
ZIP 98133
DR. KIWAN PAIK M.D.
Family Medicine
1570 N 115TH ST
SUITE 16
SEATTLE, WA
ZIP 98133
DR. MICHAEL K BRAWER MD
Urology
1570 N 115TH ST
SUITE PB 15
SEATTLE, WA
ZIP 98133
NORTHWEST HOSPITAL
Obstetrics & Gynecology
(Obstetrics)
1570 N 115TH ST
# 9
SEATTLE, WA
ZIP 98133
ALEX D. COOPER, MD, PLLC
Psychiatry & Neurology
(Neurology)
1570 N 115TH ST
SUITE 14
SEATTLE, WA
ZIP 98133
RAMESH RENGAN MD. PHD
Radiology
(Radiation Oncology)
1570 N 115TH ST
SEATTLE, WA
ZIP 98133
DR. SMITH APISARNTHANARAX MD
Radiology
(Radiation Oncology)
1570 N 115TH ST
SEATTLE, WA
ZIP 98133
SEATTLE PROCURE MANAGEMENT LLC
Radiology
(Radiation Oncology)
1570 N 115TH ST
SEATTLE, WA
ZIP 98133
YOLANDA TSENG MD
Radiology
(Radiation Oncology)
1570 N 115TH ST
SEATTLE, WA
ZIP 98133
SEATTLE PROTON CENTER, LLC
Clinic/Center
(Oncology, Radiation)
1570 N 115TH ST
SEATTLE, WA
ZIP 98133
PUGET SOUND INTEGRATIVE ONCOLOGY
Clinic/Center
1570 N 115TH ST
SEATTLE, WA
ZIP 98133
NORTHWEST HOSPITAL PROVIDERS TRUST
Urology
1570 N 115TH ST
SUITE PB15
SEATTLE, WA
ZIP 98133
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245296094, enumerated as an "individual" on April 21, 2006.
The provider is located at 1570 N 115TH ST SUITE 10 SEATTLE, WA 98133 and the phone number is (206) 367-5252.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
