DR. SUK KI KATHLEEN LEE D.D.S.
NPI 1811017668
Dentist - Endodontics in Portland, OR
About Dr. Suk Ki Kathleen Lee D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUK KI KATHLEEN LEE D.D.S. (NPI 1811017668) is an individual endodontics provider in Portland, Oregon, licensed in Oregon (D7421) and active in the NPI registry since March 2007. She has opted out of Medicare through March 17, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Suk Ki Kathleen Lee D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2016 through March 17, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97204
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 Suk Ki Lee's NPI number?
The NPI number for Suk Ki Lee is 1811017668. It was assigned to this individual provider in the NPPES registry on March 29, 2007.
Where is Suk Ki Lee located?
Suk Ki Lee practices at 1001 SW 5th Ave Suite 222, Portland, OR 97204. The listed phone number is (503) 222-5355.
What is Suk Ki Lee's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is Suk Ki Lee enrolled in Medicare?
No. Suk Ki Lee has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Suk Ki Lee accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental Plan of Oregon and Florida Combined Life and 1 other insurer list Suk Ki 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 Suk Ki Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Suk Ki Kathleen Lee, D.D.S. · NPI 1811017668
Endodontics provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1811017668 (Entity type: Individual)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Dentist - Endodontics · taxonomy 1223E0200X
- **State license:** D7421 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1001 SW 5TH AVE, SUITE 222, Portland, OR 97204-1147
- **Phone:** (503) 222-5355
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 17, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1811017668) · Data from the CMS NPPES public registry.