Individual provider Active NPI

Su Mon Aye, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1518459809
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0027045 Issued in DE
Practice address
2230 Cottman Ave
Philadelphia, PA 19149-1230
Phone
(215) 685-0603
Fax
(215) 725-4877
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0100709 MD
Internal Medicine Physician 207R00000X MD474685 PA
Internal Medicine Physician 207R00000X C1-0027045 DE Primary

Addresses

Primary practice location

2230 Cottman Ave
Philadelphia, PA 19149-1230

Mailing address

2230 Cottman Ave
Philadelphia, PA 19149-1230
Phone (215) 685-0603

Other practice location 1

1900 N 20th St
Philadelphia, PA 19121-2217
Phone (215) 685-2973

Other practice location 2

4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-1230
Phone (302) 623-0188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DE3 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
I20211011001445 PA Practitioner - Internal Medicine 4880938851 Reassigns benefits to 3 organizations
I20240722002963 MD Practitioner - Internal Medicine 4880938851 Reassigns benefits to 1 organization
I20240813000008 DE Practitioner - Internal Medicine 4880938851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania HM Associates PC CurrentSince Jan 31, 2023 Accepting new patients
Union Hospital of Cecil County Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Jul 30, 2024 Accepting new patients
City of Philadelphia CurrentSince Sep 27, 2021 Accepting new patients
Union Hospital of Cecil County CurrentSince Aug 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 30, 2024 Accepting new patients
City of Philadelphia CurrentSince Sep 27, 2021 Accepting new patients
City of Philadelphia Current Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

1900 N 20th St
#5
Philadelphia, PA 19121
Phone (215) 685-2933

2230 Cottman Ave
Philadelphia, PA 19149
Phone (215) 685-0603

1900 N 20th St
Philadelphia, PA 19121
Phone (215) 685-2933

1101 Market St
Fl 10
Philadelphia, PA 19107

2230 Cottman Ave
#10
Philadelphia, PA 19149
Phone (215) 685-0602

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

1368 Mall Run Rd
Ste 628
Uniontown, PA 15401
Phone (724) 438-6660

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 11

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1518459809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491230",
            "telephone_number": "215-685-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491230",
            "telephone_number": "215-685-0603",
            "fax_number": "215-725-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N 20th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191212217",
            "country_code": "US",
            "telephone_number": "215-685-2973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Rd Ste 5A43",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197181230",
            "country_code": "US",
            "telephone_number": "302-623-0188",
            "fax_number": "302-733-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYE",
        "first_name": "SU",
        "middle_name": "MON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0100709",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD474685",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0027045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.