NPIMap

Individual provider Active NPI

Hwan Z Suk, M D

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1619902509
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61077 Issued in CA
Practice address
1560 E Chevy Chase Dr Ste 240
Glendale, CA 91206-4140
Phone
(818) 548-7178
Fax
(818) 548-7187
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61077 CA Primary

Addresses

Primary practice location

1560 E Chevy Chase Dr Ste 240
Glendale, CA 91206-4140

Mailing address

1560 E Chevy Chase Dr Ste 240
Glendale, CA 91206-4140
Phone (818) 548-7178

Other identifiers 1

IdentifierTypeStateIssuer
A61077MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20031112000528 CA Practitioner - Internal Medicine 9032022272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1560 E Chevy Chase Dr
Suite 240
Glendale, CA 91206-4140
Phone (818) 548-7178

511 Western Ave
Glendale, CA 91201-2870
Phone (818) 240-5588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comcare Primary Medical Group a California General Partnership CurrentSince Sep 4, 2016 Accepting new patients
Hwan Z. Suk, M.D., Corporation Internal Medicine CurrentSince Jan 6, 2013 Accepting new patients
Razmik Ohanjanian MD Inc Current Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Michelle K. Kim D.D.S. Corp. Past Accepting new patients

Locations

333 E Magnolia Blvd
Ste 103
Burbank, CA 91502
Phone (818) 848-1555

1560 E Chevy Chase Dr
Ste 240
Glendale, CA 91206
Phone (818) 548-7178

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1560 E Chevy Chase Dr
Ste 325
Glendale, CA 91206
Phone (818) 242-1144

511 Western Ave
Glendale, CA 91201
Phone (818) 240-5588

1901 Broadview Dr
Glendale, CA 91208
Phone (818) 246-3306

1030 S Glendale Ave
Ste 304
Glendale, CA 91205
Phone (818) 291-4041

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1619902509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR STE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064140",
            "telephone_number": "818-548-7178",
            "fax_number": "818-548-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DR STE 240",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064140",
            "telephone_number": "818-548-7178",
            "fax_number": "818-548-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUK",
        "first_name": "HWAN",
        "middle_name": "Z",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A61077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.