Individual provider Active NPI

Andy Wei-Hao Su, MD

  • Radiation Oncology Physician
  • Elmhurst, IL
National Provider Identifier
1699897306
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036117468 Issued in IL
Practice address
177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone
(331) 221-5900
Fax
(331) 221-3857
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036117468 IL Primary

Addresses

Primary practice location

177 E Brush Hill Rd
Elmhurst, IL 60126-5658

Mailing address

115 E Ogden Ave Ste 105
Naperville, IL 60563-3418
Phone (630) 363-3470

Other identifiers 1

IdentifierTypeStateIssuer
036117468MedicaidIL

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
I20070728000230 IL Practitioner - Radiation Oncology 6608977038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Chicago, Pritzker School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Radiation Oncology LLCGroup PAC ID 1456352301, 4 clinicians

Practice addresses (Care Compare)

120 Spalding Dr
Suite 111
Naperville, IL 60540-6766
Phone (630) 646-6161

177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-5900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Radiation Oncology LLC Radiation Oncology CurrentSince Nov 1, 2013 Accepting new patients
Nuclear Oncology, SC Radiation Oncology PastSince Jun 22, 2021 Accepting new patients
Rosa of Northern Illinois, LLC Past Accepting new patients
Northern Illinois University Past Accepting new patients

Locations

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

177 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-5900

115 E Ogden Ave
Ste 105
Naperville, IL 60563
Phone (630) 445-1441

120 Spalding Dr
Ste 111
Naperville, IL 60540
Phone (630) 527-3788

9410 Compubill Dr
Orland Park, IL 60462
Phone (312) 460-7444

24600 W 127th St
Plainfield, IL 60585
Phone (630) 305-3025

Organizations & group practices 4

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 3

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1699897306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E OGDEN AVE STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633418",
            "telephone_number": "630-363-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "331-221-5900",
            "fax_number": "331-221-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "ANDY",
        "middle_name": "WEI-HAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036117468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036117468",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.