Individual provider Active NPI

Le-Chu Su, MD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1457428781
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
303961 Issued in NY
Practice address
161 Fort Washington Ave FL 8
New York, NY 10032-3729
Phone
(212) 305-9664
Fax
(212) 305-0267
NPI assigned
Nov 30, 2006
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME125646 FL
Gastroenterology Physician 207RG0100X 303961 NY Primary

Addresses

Primary practice location

161 Fort Washington Ave FL 8
New York, NY 10032-3729

Mailing address

808 Columbus Ave Apt 22F
New York, NY 10025-5172

Other practice location 1

3400 Quadrangle Blvd
Orlando, FL 32817-1492
Phone (407) 266-3627

Other practice location 2

9975 Tavistock Lakes Blvd Ste 360
Orlando, FL 32827-7665
Phone (407) 266-3627

Other practice location 3

1 Pondfield Rd
Bronxville, NY 10708-3706
Phone (212) 305-9664

Other identifiers 2

IdentifierTypeStateIssuer
015881500MedicaidFL
02663569MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151120000879 FL Practitioner - Gastroenterology 9537168059 Reassigns benefits to 1 organization
I20200611001730 NY Practitioner - Gastroenterology 9537168059 Reassigns benefits to 1 organization
I20251002001509 NJ Practitioner - Gastroenterology 9537168059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Upper gastrointestinal (GI) endoscopy for acid reflux12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Doctors of New Jersey, P. C. CurrentSince Aug 11, 2025 Accepting new patients
University of Central Florida CurrentSince Oct 23, 2015 Accepting new patients
Columbia Doctors of New Jersey, P. C. CurrentSince Aug 11, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 11, 2020 Accepting new patients
The University of Central Florida Board of Trustees Current Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Oct 23, 2015 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 11, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

12424 Research Pkwy
Ste 155
Orlando, FL 32826
Phone (407) 249-4770

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

9975 Tavistock Lakes Blvd
Ste 160
Orlando, FL 32827
Phone (407) 266-3627

9975 Tavistock Lakes Blvd
Ste 360
Orlando, FL 32827
Phone (407) 266-3627

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

1 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-5956

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

161 Fort Washington Ave
#8
New York, NY 10032
Phone (646) 317-6041

161 Fort Washington Ave
Fl 8
New York, NY 10032
Phone (212) 342-1155

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: les9145@direct.nyp.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1457428781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 COLUMBUS AVE APT 22F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT WASHINGTON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323729",
            "telephone_number": "212-305-9664",
            "fax_number": "212-305-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Quadrangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328171492",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9975 Tavistock Lakes Blvd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277665",
            "country_code": "US",
            "telephone_number": "407-266-3627",
            "fax_number": "407-882-4799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Pondfield Rd",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107083706",
            "country_code": "US",
            "telephone_number": "212-305-9664",
            "fax_number": "212-305-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "LE-CHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME125646",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "303961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015881500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02663569",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.