NPIMap

Individual provider Active NPI

Youngun Suh, PA-C

  • Physician Assistant
  • Beverly, MA
National Provider Identifier
1346498870
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4246 Issued in MA
Practice address
100 Cummings Ctr
Suite 131Q
Beverly, MA 01915-6115
Phone
(978) 927-7246
Fax
(978) 927-7249
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002361 CT
Physician Assistant 363A00000X PA4246 MA Primary

Addresses

Primary practice location

100 Cummings Ctr
Suite 131Q
Beverly, MA 01915-6115

Mailing address

100 Cummings Ctr
Suite 131Q
Beverly, MA 01915-6115
Phone (978) 927-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000130 MA Practitioner - Physician Assistant 2163602285 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians

Practice addresses (Care Compare)

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002361CTMDClinical Social Worker
PA4246MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Dec 1, 2025 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
North Shore Pain Management CurrentSince Aug 25, 2019 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Dec 1, 2025 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
North Shore Anesthesia, LLC Past Accepting new patients
LGH Medical Group, Inc. Past Accepting new patients
Merrimack Urology Assoc, PC Past Accepting new patients
Plexus Anesthesia Services of Massachusetts, PC Past Accepting new patients

Locations

900 Cummings Ctr
Ste 221U
Beverly, MA 01915
Phone (351) 400-6272

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

800 W Cummings Park
Ste 1200
Woburn, MA 01801
Phone (781) 330-0327

Organizations & group practices 11

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 4

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1346498870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 131Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-927-7246",
            "fax_number": "978-927-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 131Q",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-927-7246",
            "fax_number": "978-927-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "YOUNGUN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "002361",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.