Active NPI
Thomas Y Su, MD
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1194050484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME72741
- Practice address
- 6319 Memorial Hwy
Tampa, FL 33615-4537 - Phone
- (813) 886-9090
- NPI assigned
- Oct 5, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME72741 | FL | Primary |
Addresses
Primary practice location
6319 Memorial Hwy
Tampa, FL 33615-4537
Mailing address
6319 Memorial Hwy
Tampa, FL 33615-4537
Phone (813) 886-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72741 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1194050484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6319 MEMORIAL HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154537",
"telephone_number": "813-886-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6319 MEMORIAL HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154537",
"telephone_number": "813-886-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "THOMAS",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-05",
"last_updated": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME72741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.