1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SUNG RO LEE MD
NPI 1649730144
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
111 E 210TH ST, BRONX, NY 10467(347) 577-4410(347) 577-4451 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sung Ro Lee Md NPPES

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

SUNG RO LEE MD (NPI 1649730144) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649730144
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSUNG RO LEECredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401
Phone(347) 577-4410
Fax(347) 577-4451
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
✔ NPI 1649730144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
111 E 210TH ST, Bronx, NY 10467
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sung Ro Lee Md 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 ID6002316270
PECOS Enrollment IDI20250822000276
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 Sung Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ronald C. Huang M.D. LLC
18 mi
Orthopaedic Surgery
5318 7TH AVE
Brooklyn, NY 11220
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1851901474 (212) 858-9828

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

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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Sung Lee's NPI number?

The NPI number for Sung Lee is 1649730144. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Sung Lee located?

Sung Lee practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (347) 577-4410.

What is Sung Lee's specialty?

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

Is Sung Lee enrolled in Medicare?

Yes. Sung Lee 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.

Which organization bills Medicare for Sung Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sung Lee reassigns Medicare benefits to Ronald C. Huang M.D. LLC (Brooklyn, NY). 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 Sung Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sung Lee was last updated on March 21, 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.