Active NPI
Edward T Su, MD
- Orthopaedic Hand Surgery Physician
- Vadnais Heights, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 47790
- Practice address
- 3580 Arcade St
Vadnais Heights, MN 55127-7135 - Phone
- (651) 968-5770
- Fax
- (651) 968-5775
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 47790 | MN | Primary |
Addresses
Primary practice location
3580 Arcade St
Vadnais Heights, MN 55127-7135
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5042
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926459100 | Medicaid | MN | |
| P00265354 | Other | MN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone (651) 968-5201
2090 Woodwinds Dr
Saint Paul, MN 55125-2522
Phone (651) 968-5201
319 S Main St
River Falls, WI 54022-2452
Phone (651) 968-5201
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- Quality
- 78.49
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics, LTD. | Current | Accepting new patients | |
| Summit Orthopedics, LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Hand Surgery | Current | Accepting new patients |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 271-1592
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
319 S Main St
River Falls, WI 54022
Phone (715) 425-6701
Interoperability endpoints
- edwardtsu@sol.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Minnesota Occupational Health
- Occupational Medicine Clinic/Center
- Saint Paul, MN
- NPI 1275684128
-
dba Institute for Low Back & Neck Care
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
dba University of MN Medical Center, Fairview Transitional Care
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Hospital
-
dba Fairview Woodwinds Hospital
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1033188156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925",
"telephone_number": "651-968-5042",
"fax_number": "651-968-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 ARCADE ST",
"city": "VADNAIS HEIGHTS",
"state": "MN",
"postal_code": "551277135",
"telephone_number": "651-968-5770",
"fax_number": "651-968-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "EDWARD",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MN",
"license": "47790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926459100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00265354",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vadnais Heights, MN
- Haley Stewart
- Heather Dawn Stirling, LICSW
- Elizabeth Stolt, LPCC, LADC
- Caroline Susan Stommes, PT
- Shannon Nicole Stuart
- Suite Living Senior Care of Vadnais Heights (Suite Living of Vadnais Heights)
- Lisa Sullivan, PA-C
- Summit Orthopedics, LTD
- Summit Orthopedics, LTD (Summit Recovery Suites)
- Sunrise Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.