Organization Active NPI

Suh & Suh MD Inc

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1124124243
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10040 Issued in HI
Legal business name
SUH & SUH MD INC
Practice address
725 Kapiolani Blvd Ste C114
Honolulu, HI 96813-6016
Phone
(808) 946-1414
Fax
(808) 946-1515
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip Jung Suh, MDNPI 1518934009
Title
Owner
Phone
(808) 946-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 10040 HI Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 2519 HI

Addresses

Primary practice location

725 Kapiolani Blvd Ste C114
Honolulu, HI 96813-6016

Mailing address

725 Kapiolani Blvd Ste C114
Honolulu, HI 96813-6016
Phone (808) 946-1414

Other identifiers 2

IdentifierTypeStateIssuer
50149601MedicaidHI
03532001MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000509 HI Part B Supplier - Clinic/Group Practice 1557250727 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0932273Suh & Suh MD Inc725 Kapiolani Blvd #C114, Honolulu, HI 96813Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

725 Kapiolani Blvd
Ste C114
Honolulu, HI 96813
Phone (808) 946-1414

1441 Kapiolani Blvd
Ste 1405
Honolulu, HI 96814
Phone (808) 888-9331

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1124124243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C114",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136016",
            "telephone_number": "808-946-1414",
            "fax_number": "808-946-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C114",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136016",
            "telephone_number": "808-946-1414",
            "fax_number": "808-946-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUH & SUH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-946-1414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "10040",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "HI",
            "license": "2519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50149601",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03532001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.