Charles Yieng Chu Su, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

J3383 Issued in TX

Practice address

1901 N Macarthur Blvd
Irving, TX 75061-2220

Phone

(972) 579-8110

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Emergency Services Associates PA

  • Emergency Medicine Physician
  • Irving, TX
  • NPI 1992793715
  Authorized official Same address or phone

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1912995655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SAINT LAURENT CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925874",
            "telephone_number": "817-329-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612220",
            "telephone_number": "972-579-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "CHARLES",
        "middle_name": "YIENG CHU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J3383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "089938703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82251F",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089938702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Stufflebean
• Mary Stultz-Ware, LPTA
• Lee Sturdevant, DPT
• Jared D. Sturgeon, MD
• Kate Dee Stutts, B.S., SLP-ASSISTANT
• Alia Subhan, MD
• Lalitha Subramanyam, M.D.
• Andra Sucilea, PHARMD
• Cherilyn Ann Sudar, CNP
• Leeigh Ann Sudbury, ATC, LAT

• Emergency Medicine Physician in Irving, TX
• Providers in Irving, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.