Individual provider Active NPI

Philip Jung Suh, M.D.

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1518934009
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD10040 Issued in HI
Practice address
725 Kapiolani Blvd Ste C114
Honolulu, HI 96813-6016
Phone
(808) 946-1414
Fax
(808) 946-1515
NPI assigned
Mar 2, 2006
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD10040 HI Primary

Addresses

Primary practice location

725 Kapiolani Blvd Ste C114
Honolulu, HI 96813-6016

Mailing address

725 Kapiolani Blvd Ste C114
Honolulu, HI 96813-6016
Phone (808) 946-1414

Other identifiers 1

IdentifierTypeStateIssuer
50149601MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20110818000159 HI Practitioner - General Practice 6406745686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Hawaii John a. Burns School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suh and Suh MD IncGroup PAC ID 1557250727, 2 clinicians

Practice addresses (Care Compare)

725 Kapiolani Blvd
Suite C114
Honolulu, HI 96813-6016
Phone (808) 946-1414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10040HIMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: philip.suh@10704718266372.direct.elationemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1518934009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C114",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136016",
            "telephone_number": "808-946-1414",
            "fax_number": "808-946-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C114",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136016",
            "telephone_number": "808-946-1414",
            "fax_number": "808-946-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "PHILIP",
        "middle_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD10040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50149601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.