SUSAN LEE FONG M.D., PH.D.
NPI 1417391582
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Cincinnati, OH

Q: What is Susan Fong's NPI number?

The NPI number for Susan Fong is 1417391582. It was assigned to this individual provider in the NPPES registry on April 19, 2013. The provider is also known as Susan Sojung Lee M.D., Ph.D..

Q: What is Susan Fong's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Susan Fong was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment

3333 BURNET AVE, CINCINNATI, OH 45229(513) 636-4200 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 15, 2019, Jun 21, 2016 (2 updates tracked since 2016).

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About Susan Lee Fong M.d., Ph.d. NPPES

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

SUSAN LEE FONG M.D., PH.D. (NPI 1417391582) is an individual neurology with special qualifications in child neurology provider in Cincinnati, Ohio, licensed in Ohio (35.136097) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417391582

Entity TypeIndividualFemale

Primary Taxonomy2084N0402X

Provider Legal NameSUSAN LEE FONGCredential: M.D., PH.D.

Location Address3333 BURNET AVECincinnati, OH 45229-3026

Mailing Address3333 Burnet AveCincinnati, OH 45229-3026 · (513) 636-4200

Phone(513) 636-4200

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 19, 2013

Last NPPES UpdateMay 15, 20192 updates tracked since enumeration

✔ NPI 1417391582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in OH · 35.136097

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3333 BURNET AVE, Cincinnati, OH 45229

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Other Names 1

Former Name (1)Susan Sojung Lee M.d., Ph.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Lee Fong M.d., Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406186899

PECOS Enrollment IDI20190927001096

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

PREEYACHA PACHARN M.D.

Radiology (Pediatric Radiology)

3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229

Hamilton County (513) 636-4251

BRIAN KEITH TURPIN D.O.

Pediatrics (Pediatric Hematology-Oncology)

3333 BURNET AVE
CINCINNATI, OH 45229

Hamilton County (513) 636-3381

ETHAN J MUSGRAVE M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229

Hamilton County (513) 636-4788

KATHRYN WEAVER M.D.

Medical Genetics (Clinical Genetics (M.D.))

3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229

Hamilton County (513) 636-4760

ROBIN T COTTON, MD, INC

Otolaryngology (Pediatric Otolaryngology)

3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229

Hamilton County (513) 636-7138

ELIZABETH ANN MOORE CNP

Nurse Practitioner (Acute Care)

3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229

Hamilton County (513) 636-4432

CONSTANCE MARIE MARTIN CNP

Nurse Practitioner (Primary Care)

3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229

Hamilton County (513) 636-4355

EMILY RENAE LY LSW

Case Manager/Care Coordinator

3333 BURNET AVE
CINCINNATI, OH 45229

Hamilton County (513) 803-6316

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 Susan Fong's NPI number?

The NPI number for Susan Fong is 1417391582. It was assigned to this individual provider in the NPPES registry on April 19, 2013. The provider is also known as Susan Sojung Lee M.D., Ph.D..

Where is Susan Fong located?

Susan Fong practices at 3333 Burnet Ave, Cincinnati, OH 45229. The listed phone number is (513) 636-4200.

What is Susan Fong's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Susan Fong enrolled in Medicare?

Yes. Susan Fong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Fong accept?

Health plans from CareSource and MedMutual list Susan Fong 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 Susan Fong was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.