Active NPI
Stephanie Ying Sui Su Kao, MD
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1356546006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- PA MD061998L
- Practice address
- 7500 Central Ave
Suite 100
Philadelphia, PA 19111 - Phone
- (215) 928-2020
- Fax
- (215) 728-2044
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- 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 | PA MD061998L | PA | Primary |
Addresses
Primary practice location
7500 Central Ave
Suite 100
Philadelphia, PA 19111
Mailing address
938 Clover Hill Rd
Wynnewood, PA 19096
Phone (610) 999-9631
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 |
|---|---|---|---|
| PA MD061998L | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356546006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 CLOVER HILL RD",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "19096",
"telephone_number": "610-999-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 CENTRAL AVE",
"address_2": "SUITE 100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19111",
"telephone_number": "215-928-2020",
"fax_number": "215-728-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAO",
"first_name": "STEPHANIE",
"middle_name": "YING SUI SU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "PA MD061998L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.