NPIMap

Individual provider Active NPI

Kwang I Suh, M.D.

  • Surgical Critical Care Physician
  • Columbus, OH
National Provider Identifier
1679631170
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
2008022460 Issued in MO
Practice address
3545 Olentangy River Rd
Suite 525
Columbus, OH 43214-3907
Phone
(614) 261-1900
Fax
(614) 261-7538
NPI assigned
Dec 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2008022460 MO
Trauma Surgery Physician 2086S0127X 2008022460 MO
Surgical Critical Care Physician 2086S0102X 2008022460 MO Primary

Addresses

Primary practice location

3545 Olentangy River Rd
Suite 525
Columbus, OH 43214-3907

Mailing address

3545 Olentangy River Rd
Suite 525
Columbus, OH 43214-3907
Phone (614) 261-1900

Other identifiers 4

IdentifierTypeStateIssuer
G92865OtherMOUPIN
2148081MedicaidOH
1679631170MedicaidMO
2008022460OtherMOLICENSE #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksuh33709@direct.ohiohealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20101129000542 OH Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7012098973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Ohio State University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Trauma Surgeons LLCGroup PAC ID 9931132040, 9 clinicians
Riverside Surgical Associates IncGroup PAC ID 9537192950, 9 clinicians

Practice addresses (Care Compare)

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 261-1900

3545 Olentangy River Rd
Suite 525
Columbus, OH 43214-3907
Phone (614) 261-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008022460MOMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jan 10, 2011 Accepting new patients
Riverside Trauma Surgeons LLC Trauma Surgery CurrentSince Jan 1, 2011 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 10, 2011 Accepting new patients
Riverside Surgical Associates Inc Surgery CurrentSince Jan 1, 2011 Accepting new patients
Trauma Inc. Past Accepting new patients
Mercy Clinic Trauma and General Surgery, LLC Trauma Surgery PastSince Sep 1, 2010 Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients
Trauma Associates Inc Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

285 E State St
Ste 300
Columbus, OH 43215
Phone (614) 461-3629

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3545 Olentangy River Rd
Ste 525
Columbus, OH 43214
Phone (614) 261-1900

3545 Olentangy River Rd
Ste 226
Columbus, OH 43214
Phone (614) 261-0174

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

Dept L3652
Columbus, OH 43260

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 6

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679631170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD",
            "address_2": "SUITE 525",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143907",
            "telephone_number": "614-261-1900",
            "fax_number": "614-261-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD",
            "address_2": "SUITE 525",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143907",
            "telephone_number": "614-261-1900",
            "fax_number": "614-261-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "KWANG",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2008022460",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MO",
            "license": "2008022460",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MO",
            "license": "2008022460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G92865",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2148081",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679631170",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "2008022460",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksuh33709@direct.ohiohealth.com",
            "affiliation": "N",
            "address_1": "3545 Olentangy River Rd",
            "address_2": "Suite 525",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.