Active NPI
Terry Su, M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- ME110177
- Practice address
- 7350 Sandlake Commons Blvd Ste 2212a
Orlando, FL 32819-8031 - Phone
- (407) 463-9588
- Fax
- (949) 798-7844
- NPI assigned
- Nov 19, 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | ME110177 | FL | Primary |
Addresses
Primary practice location
7350 Sandlake Commons Blvd Ste 2212a
Orlando, FL 32819-8031
Mailing address
PO Box 1112
Windermere, FL 34786-1112
Phone (407) 463-9588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Un of California, Irvine, College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7350 Sandlake Commons Blvd
Suite 2212a
Orlando, FL 32819-8031
Phone (407) 913-5027
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Maxillofacial and Reconstructive Surgery PA | Oral & Maxillofacial Surgery | Current | Accepting new patients |
Locations
7350 Sandlake Commons Blvd
Ste 2225A
Orlando, FL 32819
Phone (407) 913-5027
7350 Sandlake Commons Blvd
Ste 2212A
Orlando, FL 32819
Phone (407) 463-9588
Interoperability endpoints
- terry.su@hca4.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Orlando, FL
- NPI 1669111902
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1205164878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1112",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347861112",
"telephone_number": "407-463-9588",
"fax_number": "949-798-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 SANDLAKE COMMONS BLVD STE 2212A",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198031",
"telephone_number": "407-463-9588",
"fax_number": "949-798-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "TERRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-19",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "FL",
"license": "ME110177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.