Antonius Su, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0496 Issued in AZ

Practice address

595 N Dobson Rd
Suite D-71
Chandler, AZ 85224-4226

Phone

(480) 963-9000

Fax

(480) 963-0375

NPI assigned

Oct 13, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Foot and Ankle Specialists of Arizona PLLCGroup PAC ID 9830176940, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Quality

96.59

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Foot & Ankle Specialists of Arizona PLLC

  • Podiatrist
  • Chandler, AZ
  • NPI 1962516674
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1891783775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD",
            "address_2": "SUITE D-71",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244226",
            "telephone_number": "480-963-9000",
            "fax_number": "480-963-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD",
            "address_2": "SUITE D-71",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244226",
            "telephone_number": "480-963-9000",
            "fax_number": "480-963-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "ANTONIUS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z2392",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139148",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0193890",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selma Umar Stultz, PT, DPT
• Bridgette A Sturgis
• Cristanna Greta Sturtevant, PHARM.D.
• Jeff Sturzenegger, RPH
• John Sandy Stutts, CRNA
• Sneha Subramanian, DMD
• Successful Journeys, LLC
• Tyler Jonathan Suchala, MD
• Peter Suchsland, O.D.
• Neetika Sud, DO

• Podiatrist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.