Individual provider Active NPI

Susan Tsu-Thai, DNP,RN,CRNP,FNP-BC

  • Family Nurse Practitioner
  • Elkridge, MD
National Provider Identifier
1891426383
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R135099 Issued in MD
Practice address
6403 Montgomery Rd
Elkridge, MD 21075-5919
Phone
(410) 608-2384
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R135099 MD Primary

Addresses

Primary practice location

6403 Montgomery Rd
Elkridge, MD 21075-5919

Mailing address

6403 Montgomery Rd
Elkridge, MD 21075-5919
Phone (410) 608-2384

Other names 1

  • Miss Susan Tsu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823004254 MD Practitioner - Nurse Practitioner 1052794088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R135099MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 29, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 29, 2022 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

305 Hospital Dr
Ste 305
Glen Burnie, MD 21061
Phone (410) 553-8240

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1891426383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 MONTGOMERY RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755919",
            "telephone_number": "410-608-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 MONTGOMERY RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755919",
            "telephone_number": "410-608-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSU-THAI",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DNP,RN,CRNP,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R135099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "TSU",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.