NPIMap

Individual provider Active NPI

Yungpo B Su, MD

  • Hematology & Oncology Physician
  • Omaha, NE
National Provider Identifier
1457322166
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
23746 Issued in NE
Practice address
7500 Mercy Rd
Suite 1300
Omaha, NE 68124-2319
Phone
(402) 393-3110
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 23746 NE Primary

Addresses

Primary practice location

7500 Mercy Rd
Suite 1300
Omaha, NE 68124-2319

Mailing address

7500 Mercy Rd
Suite 1300
Omaha, NE 68124-2319
Phone (402) 393-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20061010000396 NE Practitioner - Hematology/Oncology 5991771057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
New York University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology West PCGroup PAC ID 8426030024, 56 clinicians

Practice addresses (Care Compare)

17201 Wright St
Suite 200
Omaha, NE 68130-2042
Phone (402) 334-4773

450 E 23Rd St
Fremont, NE 68025-2303
Phone (402) 941-7030

611 Fenwick Dr
Papillion, NE 68046-5706
Phone (402) 593-3141

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 393-3110

8303 Dodge St
Suite 250
Omaha, NE 68114-4108
Phone (402) 354-8124

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • Methodist Fremont Health Hospital, Fremont, NE, CCN 280077

Merit-based Incentive Payment System (MIPS)

Final score
31.28 of 100Reported as group
Quality
19.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
89.93
Promoting interoperability
100
Improvement activities
40
Cost
54.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology West, PC CurrentSince Jul 1, 2006 Accepting new patients
Oncology Hematology West, PC Hematology & Oncology CurrentSince Jul 1, 2006 Accepting new patients

Locations

8303 Dodge St
Ste 250
Omaha, NE 68114
Phone (402) 354-8124

7500 Mercy Rd
#1300
Omaha, NE 68124
Phone (402) 393-3110

17201 Wright St
Ste 200
Omaha, NE 68130
Phone (402) 334-4773

7500 Mercy Rd
Ste 1300
Omaha, NE 68124
Phone (402) 334-4773

611 Fenwick Dr
Papillion, NE 68046
Phone (402) 593-3141

Organizations & group practices 2

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 9

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1457322166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD",
            "address_2": "SUITE 1300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-393-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD",
            "address_2": "SUITE 1300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242319",
            "telephone_number": "402-393-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "YUNGPO",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "23746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.