Individual provider Active NPI

Bo Young Suh, MD

  • Gynecology Physician
  • Fullerton, CA
National Provider Identifier
1942351978
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A37386 Issued in CA
Practice address
1400 N Harbor Blvd Ste 103
Fullerton, CA 92835-4107
Phone
(714) 643-9203
Fax
(714) 643-9205
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X A37386 CA
Gynecology Physician 207VG0400X A37386 CA Primary

Addresses

Primary practice location

1400 N Harbor Blvd Ste 103
Fullerton, CA 92835-4107

Mailing address

1400 N Harbor Blvd Ste 103
Fullerton, CA 92835-4107
Phone (714) 643-9203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120207000347 CA Practitioner - Obstetrics/Gynecology 3274790084
I20230221002999 OH Practitioner - Obstetrics/Gynecology 3274790084 Reassigns benefits to 1 organization
I20240202002326 TX Practitioner - Obstetrics/Gynecology 3274790084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center LubbockGroup PAC ID 4385549674, 363 clinicians

Practice addresses (Care Compare)

808 Joliet Ave
Unit 230
Lubbock, TX 79415-1159
Phone (806) 743-4256

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Nov 30, 2022 Accepting new patients
The Metrohealth System CurrentSince Nov 30, 2022 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Interoperability endpoints

  • Direct secure messaging: bsuh235410@direct.metrohealth.org

Organizations & group practices 6

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1942351978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 103",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354107",
            "telephone_number": "714-643-9203",
            "fax_number": "714-643-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 103",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354107",
            "telephone_number": "714-643-9203",
            "fax_number": "714-643-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "BO YOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A37386",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A37386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.