Sean Su, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9013 Issued in NV

Practice address

2451 Professional CT Ste 110
Las Vegas, NV 89128-0827

Phone

(702) 240-4242

NPI assigned

Aug 21, 2006

Last updated

Aug 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sean.su.p5@direct.caremorewest.nextgenshare.com

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.

• Sean P Q Su MD LTD

  dba Sunshine Medical Group

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1073233946
  Medicare reassignment NPD Authorized official
• Fub LLC

  • Adult Medicine Physician
  • Las Vegas, NV
  • NPI 1407737539
  Medicare reassignment NPD (past) Authorized official
• Orion West Medical Group Inc

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1144049040
  NPD (past) Authorized official
• Okemefuna Okpara MD, PLLC

  dba Omni Wound Physicians Nevada

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1588467435
  NPD
• Dana Forte D O LTD

  dba Forte Family Practice

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1649209420
  NPD (past)
• Kuhl Consulting LV

  dba Spring Mountain Occupational

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1750162368
  NPD (past)
• Physicians Medical Center Kaufman, LTD

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1952356412
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1760597405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 PROFESSIONAL CT STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280827",
            "telephone_number": "702-240-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 PROFESSIONAL CT STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280827",
            "telephone_number": "702-240-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Haejin Su, DO
• Lichang Su
• Mei Zi Su
• Peter Shao You Su, M.D.
• Qiangsheng Su
• Ting Su
• Ryan Sua, MSN, CRNA
• Marissa Suan
• Claudia Suarez Chavez
• Maria Elena Suarez de Garcia

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.