DR. JOO-YEON SUNG (M.D., PHD) – Dermatology Physician, NPI 1619188943

DR. JOO-YEON SUNG (M.D., PHD) is a healthcare provider. based in Cleveland heights, Ohio. specializing in DERMATOLOGY. They hold the professional credentials M.D., PHD. They hold a License No. 57.012196 (OH). The NPI Number for DR. JOO-YEON SUNG (M.D., PHD) is 1619188943

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOO-YEON SUNG (M.D., PHD)
NPI
1619188943
Phone
(212) 677-7814
Address
12467 CEDAR RD
Enumeration Date
25 May 2007
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5103071500
Graduation Year
2005 (21 years ago)
PAC ID
4183817828
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20101026000662
Address ID
CA948013143RI901XXAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

607 DERMATOLOGY in OH

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Provider Addresses for DR. JOO-YEON SUNG (M.D., PHD)

  • Fair Mount, 12467, Cedar Road, Cleveland Heights, Cuyahoga County, Ohio, 44106, United States

    5A

    CLEVELAND HEIGHTS, OH 441063270

    Phone: (212) 677-7814

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    DEPARTMENT OF DERMATOLOGY

    CLEVELAND, OH 441061716

    Phone: (212) 677-7814

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101026000662IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for DR. JOO-YEON SUNG (M.D., PHD) in the U.S.?
In the U.S., DR. JOO-YEON SUNG (M.D., PHD) is identified by NPI 1619188943.
Should I treat DR. JOO-YEON SUNG (M.D., PHD) as an active provider?
Patients and plans typically see DR. JOO-YEON SUNG (M.D., PHD) as active in the national extract.
How should patients interpret DR. JOO-YEON SUNG (M.D., PHD)'s specialty?
The extract shows Dermatology Physician for DR. JOO-YEON SUNG (M.D., PHD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. JOO-YEON SUNG (M.D., PHD) in Cleveland Heights, Ohio?
For routing, start with Cleveland Heights, Ohio for DR. JOO-YEON SUNG (M.D., PHD), then verify phone and hours locally.
Who maintains DR. JOO-YEON SUNG (M.D., PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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