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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOO-HYUN LEE
NPI 1790489185
Internal Medicine in Saint Louis, MO

Active since March 29, 2023PECOS Enrolled
4921 PARKVIEW PL STE 13B, SAINT LOUIS, MO 63110(314) 362-3500 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soo-hyun Lee NPPES

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

SOO-HYUN LEE (NPI 1790489185) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2026024052) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790489185
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSOO-HYUN LEE
Location Address4921 PARKVIEW PL STE 13BSaint Louis, MO 63110-1032
Mailing Address660 S Euclid Ave # 002105Saint Louis, MO 63110-1010 · (314) 362-3500
Phone(314) 362-3500
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1790489185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2026024052
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4921 PARKVIEW PL STE 13B, Saint Louis, MO 63110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soo-hyun 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 3

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

BINITA NEUPANE MD
Internal Medicine
4921 PARKVIEW PL STE 13B
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3500
ELIZABETH ABOU DIWAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4921 PARKVIEW PL STE 13B
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3500
MS. PATRICIA G KNUTSEN AHCNS
Nurse Practitioner
4921 PARKVIEW PL STE 13B, STE 13B
SAINT LOUIS, MO 63110
St. Louis City (314) 747-7300

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 Soo-hyun Lee's NPI number?

The NPI number for Soo-hyun Lee is 1790489185. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Soo-hyun Lee located?

Soo-hyun Lee practices at 4921 Parkview Pl Ste 13B, Saint Louis, MO 63110. The listed phone number is (314) 362-3500.

What is Soo-hyun Lee's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Soo-hyun Lee enrolled in Medicare?

Yes. Soo-hyun Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soo-hyun Lee was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.