Individual provider Active NPI

Tony H Su, MD

  • Pulmonary Disease Physician
  • Arlington, TX
National Provider Identifier
1366437865
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
J7217 Issued in TX
Practice address
911 Medical Centre Dr Ste C
Arlington, TX 76012-4758
Phone
(817) 461-0201
Fax
(817) 861-3365
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X J7217 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X J7217 TX
Pulmonary Disease Physician 207RP1001X J7217 TX Primary

Addresses

Primary practice location

911 Medical Centre Dr Ste C
Arlington, TX 76012-4758

Mailing address

601 Omega Dr Ste 208
Arlington, TX 76014-2075
Phone (817) 465-5881

Other identifiers 1

IdentifierTypeStateIssuer
045752501MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsu@texpul.directbygreenway.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000829 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9638131345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Arlington Pulmonary AssociatesGroup PAC ID 9931590411, 3 clinicians

Practice addresses (Care Compare)

907 Medical Centre Dr
Suite B
Arlington, TX 76012-4756
Phone (817) 503-9726

Hospital & facility affiliations

  • Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
  • Texas Health Heart & Vascular Hospital Arlington Hospital, Arlington, TX, CCN 670071

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Arlington Pulmonary Associates Pulmonary Disease CurrentSince Sep 8, 2021 Accepting new patients
Tarrant Pulmonary Associates LLC Pulmonary Disease CurrentSince Nov 1, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

907 Medical Centre Dr
Ste B
Arlington, TX 76012
Phone (817) 469-9443

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

601 Omega Dr
Ste 208
Arlington, TX 76014
Phone (817) 465-5881

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCDGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCDGCD/Endpoint/DCDGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHJCD

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 2

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1366437865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OMEGA DR STE 208",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142075",
            "telephone_number": "817-465-5881",
            "fax_number": "817-465-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MEDICAL CENTRE DR STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124758",
            "telephone_number": "817-461-0201",
            "fax_number": "817-861-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "TONY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "J7217",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "J7217",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "J7217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045752501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsu@texpul.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "911 Medical Centre Dr Ste C",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760124758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.