Individual provider Active NPI

Feiteng Su, MD

  • Psychiatry Physician
  • Urbana, IL
National Provider Identifier
1477572733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Practice address
1400 W Park St
5TH Floor
Urbana, IL 61801
Phone
(217) 337-2130
Fax
(217) 337-2745
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IL Primary

Addresses

Primary practice location

1400 W Park St
5TH Floor
Urbana, IL 61801

Mailing address

9223 W St Francis Road
Frankfort, IL 60423
Phone (815) 806-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050317000261 IL Practitioner - Psychiatry 7012962574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-103204ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Healthcare NFP Current Accepting new patients
Chinese Provider Group of Illinois PLLC CurrentSince Oct 1, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince May 5, 2019 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 1, 2018 Accepting new patients
Siu Physicians & Surgeons, Inc Psychiatry CurrentSince May 5, 2019 Accepting new patients
Promise Healthcare NFP CurrentSince Mar 24, 2017 Accepting new patients
Promise Healthcare NFP CurrentSince Mar 24, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Yictory Health Inc PastSince Sep 1, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

201 Park Pl
Ste 2
Bourbonnais, IL 60914
Phone (815) 401-8062

819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558

800 N Logan Ave
Ste 105
Danville, IL 61832
Phone (815) 937-8744

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

319 E Madison St
Fl 3
Springfield, IL 62701
Phone (217) 545-7627

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

1400 W Park St
Fl 5
Urbana, IL 61801
Phone (217) 337-2130

Interoperability endpoints

  • Direct secure messaging: feiteng.su.p11@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 10

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 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477572733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 W ST FRANCIS ROAD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "60423",
            "telephone_number": "815-806-3111",
            "fax_number": "815-464-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PARK ST",
            "address_2": "5TH FLOOR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-337-2130",
            "fax_number": "217-337-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "FEITENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.