NPIMap

Individual provider Active NPI

Winnie S. Su, MD

  • Nephrology Physician
  • Amherst, NY
National Provider Identifier
1386900322
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
003983 Issued in NY
Practice address
1306 Sweet Home Rd
Amherst, NY 14228-2792
Phone
(716) 838-3188
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 003983 NY Primary

Addresses

Primary practice location

1306 Sweet Home Rd
Amherst, NY 14228-2792

Mailing address

1306 Sweet Home Rd
Amherst, NY 14228-2792
Phone (716) 838-3188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120423000009 NY Practitioner - NephrologyPractitioner - Internal Medicine 2163683996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Western New York, LLPGroup PAC ID 3476520560, 15 clinicians

Practice addresses (Care Compare)

1306 Sweet Home Rd
Amherst, NY 14228-2792
Phone (716) 838-3188

220 Red Tail Rd
Suite 2
Orchard Park, NY 14127-1599
Phone (716) 712-0864

475 S Transit St
Lockport, NY 14094-5562
Phone (716) 838-3188

Hospital & facility affiliations

  • DaVita Cleve Hill Dialysis Center Dialysis facility, Amherst, NY, CCN 332649
  • DaVita Suburban Dialysis Dialysis facility, Amherst, NY, CCN 332600
  • DaVita Dunkirk Dialysis Dialysis facility, Dunkirk, NY, CCN 332767
  • DaVita Northtowns Dialysis Center Dialysis facility, Tonawanda, NY, CCN 332597
  • DaVita Orchard Park Dialysis Dialysis facility, Orchard Park, NY, CCN 332608
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003983NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Western New York, LLP Nephrology CurrentSince Nov 1, 2018 Accepting new patients

Locations

1306 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 222-0297

220 Red Tail Rd
Orchard Park, NY 14127
Phone (713) 712-0864

Interoperability endpoints

  • Direct secure messaging: wsu@nephrologypractice.medentdirect.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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1386900322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282792",
            "telephone_number": "716-838-3188",
            "fax_number": "716-838-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 SWEET HOME RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282792",
            "telephone_number": "716-838-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "WINNIE",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "003983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.