Individual provider Active NPI

Tuy T Su, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1326148495
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110728 Issued in FL
Practice address
1717 N E St Ste 430
Pensacola, FL 32501-6345
Phone
(850) 437-8711
Fax
(850) 437-8719
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004799 MI
Physician Assistant 363A00000X PA9110728 FL Primary

Addresses

Primary practice location

1717 N E St Ste 430
Pensacola, FL 32501-6345

Mailing address

1717 N E St Ste 430
Pensacola, FL 32501-6345
Phone (850) 437-8711

Other practice location 1

25 Michigan St NE Ste 3300
Grand Rapids, MI 49503-2558
Phone (616) 459-4171

Other identifiers 2

IdentifierTypeStateIssuer
023794800MedicaidFL
382285194OtherMITAX ID

Other names 1

  • Tuy Thi Truong Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180322000821 FL Practitioner - Physician Assistant 2163429952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians
Baptist Urgent Care, LLCGroup PAC ID 6406741297, 17 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-4803
Phone (850) 437-8810

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

125 Baptist Way
Pensacola, FL 32503-2254

5100 N 12TH Ave
Suite 101
Pensacola, FL 32504-8919
Phone (850) 208-6130

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
76.75
Promoting interoperability
99
Improvement activities
40
Cost
70.12

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Apr 9, 2018 Accepting new patients
Baptist Medical Group LLC CurrentSince Apr 9, 2018 Accepting new patients

Locations

1717 N E St
Ste 430
Pensacola, FL 32501
Phone (850) 437-8711

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

125 Baptist Way
Ste 4B
Pensacola, FL 32503
Phone (448) 227-6350

9400 University Pkwy
Ste 101B
Pensacola, FL 32514
Phone (850) 208-6130

5100 N 12th Ave
Ste 101
Pensacola, FL 32504
Phone (850) 208-6130

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1326148495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N E ST STE 430",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016345",
            "telephone_number": "850-437-8711",
            "fax_number": "850-437-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N E ST STE 430",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016345",
            "telephone_number": "850-437-8711",
            "fax_number": "850-437-8719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Michigan St NE Ste 3300",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032558",
            "country_code": "US",
            "telephone_number": "616-459-4171",
            "fax_number": "616-459-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "TUY",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004799",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023794800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382285194",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUY",
            "last_name": "TRUONG",
            "middle_name": "THI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.