Active NPI
Bo Young Suh, MD
- Gynecology Physician
- Fullerton, CA
National Provider Identifier
1942351978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A37386
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- 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
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| The Metrohealth System | Current | 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
- 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.
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.