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LILY SUH
NPI 1922569003
Pediatrics in Charleston, SC

Active since March 29, 2019PECOS Enrolled
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(501) 364-1874 Get Directions Write a Review

NPPES record last updated: April 30, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lily Suh NPPES

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

LILY SUH (NPI 1922569003) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (87503) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922569003
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLILY SUH
Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-3933
Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-3933
Phone(501) 364-1874
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateApril 30, 2022
NPPES CertifiedApril 30, 2022
✔ NPI 1922569003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 87503
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
169 ASHLEY AVE RM 202, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Suh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850626284
PECOS Enrollment IDI20260812000551
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 Lily Suh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
198 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Delaware enrollment
  • 526 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

SANAA ABDELMAGEED MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-4607
CARA MARIE BIRD MD
Pediatrics
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
KYLER PERRY DO
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
SAI KIRAN GUDLA
Radiology (Diagnostic Radiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2575
DR. ROBERT BOONE COLEMAN MD
Anesthesiology
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2322
ERIKA ANDRADE MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 513-9773
ALEXANDRIA GATES RASCO
Internal Medicine
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2731
DR. RORY DOWD MBBS, MENG
Internal Medicine (Clinical Cardiac Electrophysiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 876-4794

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 Lily Suh's NPI number?

The NPI number for Lily Suh is 1922569003. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Lily Suh located?

Lily Suh practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (501) 364-1874.

What is Lily Suh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lily Suh enrolled in Medicare?

Yes. Lily Suh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lily Suh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Suh reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). 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 Lily Suh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Suh accept?

Health plans from First Choice Next and Highmark Blue Cross Blue Shield Delaware list Lily Suh 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 Lily Suh was last updated on April 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.