Henry H. Su, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS009559L Issued in PA

Practice address

841 E Hunting Park Ave
Suite 201
Philadelphia, PA 19124-4800

Phone

(215) 537-7695

Fax

(215) 537-7001

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware Valley Community Health, Inc.Group PAC ID 8426967175, 28 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: henry.su@direct.dvch.nextgenshare.com

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.

• Delaware Valley Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1386864502
  Medicare reassignment Care Compare group NPD
• Delaware Valley Community Health, Inc.

  dba Maria de los Santos at COMHAR

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1235956921
  NPD
• Albert Einstein Medical Center

  • General Acute Care Hospital
  • Phila, PA
  • NPI 1902805245
  NPD (past)
• Delaware Valley Community Health, Inc.

  dba Maria de los Santos Women's Health Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1225536568
  NPD (past)
• Delaware Valley Community Health, Inc.

  dba Fairmount Primary Care Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1285699686
  NPD (past)
• Delaware Valley Community Health, Inc.

  dba Parkview Women and Children's Health Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1689873911
  NPD (past)
• Stein Sloane Medical Associates

  dba Parkview OB/gyn

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
  • NPI 1811967110
  NPD (past)
• Temple University Hospital, Inc

  dba Temple Women and Families Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1932813789
  NPD (past)
• Temple University Hospital, Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1962579029
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1174594253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412-22 FAIRMOUNT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302908",
            "telephone_number": "215-684-5344",
            "fax_number": "215-232-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E HUNTING PARK AVE",
            "address_2": "SUITE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191244800",
            "telephone_number": "215-537-7695",
            "fax_number": "215-537-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "HENRY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS009559L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017734940005",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "henry.su@direct.dvch.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "841 E Hunting Park Ave",
            "address_2": "Suite 201",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191244800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chinyu G Su, MD
• Deborah Su, CRNP
• Dennis D Su, MD
• Emily M Su
• Fang-Yu Su, DMD
• Isaac E Su, MD
• Laura Su, MD. PHD.
• Lisa Su, MD
• Michelle Su, PA-C
• Simon Yongquan Su, MD

• Obstetrics & Gynecology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.

Verify at the official NPI Registry.