NPIMap

Individual provider Active NPI

William T Su, MD

  • Vascular Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1730105743
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0058267 Issued in MD
Practice address
11110 Medical Campus Rd
Suite 127
Hagerstown, MD 21742
Phone
(301) 714-4335
Fax
(301) 714-4332
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD469240 PA
Vascular Surgery Physician 2086S0129X D0058267 MD Primary
Surgery Physician 208600000X D0058267 MD

Addresses

Primary practice location

11110 Medical Campus Rd
Suite 127
Hagerstown, MD 21742

Mailing address

11110 Medical Campus Rd Ste 127
Hagerstown, MD 21742-6799
Phone (301) 714-4335

Other practice location 1

22 St Paul Dr Ste 102
Chambersburg, PA 17201-1036
Phone (301) 797-9240

Other identifiers 1

IdentifierTypeStateIssuer
404320100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050420001019 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 4183671183 Reassigns benefits to 1 organization
I20210615000709 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 4183671183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samer Saiedy MD PAGroup PAC ID 5698850956, 15 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1110 Professional CT
Suite 100
Hagerstown, MD 21740-5944
Phone (301) 714-4335

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11110 Medical Campus Rd
Suite 125
Hagerstown, MD 21742-6799
Phone (301) 714-4335

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 714-4335

112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

12 St Paul Dr
Chambersburg, PA 17201-1035

121 Chambers Hill Dr
Chambersburg, PA 17201-7302
Phone (410) 825-4530

1500 Blenhiem Farm LN
Havre de Grace, MD 21078-2042
Phone (410) 942-1000

22 St Paul Dr
Chambersburg, PA 17201-1036

25 Monument Rd
York, PA 17403-5073

25 Monument Rd
Suite 105
York, PA 17403-5049
Phone (717) 741-9345

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal22
Leg revascularization (restoring blood flow)76
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058267MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Wellspan Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Atlantis Vascular Resources LLC Past Accepting new patients
Ability Prosthetics & Orthotics, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients
Hagerstown Imaging LLC Past Accepting new patients
Potomac Surgical Specialists, LLC Surgery PastSince Apr 19, 2005 Accepting new patients
Podiatry Associates, P.a. Past Accepting new patients

Locations

22 St Paul Dr
Ste 102
Chambersburg, PA 17201

25 Monument Rd
Ste 105
York, PA 17403
Phone (717) 741-9345

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: william.su.1@15873.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2562/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.su.1@16925.direct.athenahealth.com

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 9

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1730105743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 127",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426799",
            "telephone_number": "301-714-4335",
            "fax_number": "301-714-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 127",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-714-4335",
            "fax_number": "301-714-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 St Paul Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011036",
            "country_code": "US",
            "telephone_number": "301-797-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD469240",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0058267",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0058267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404320100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.