Active NPI
Hyun Sook Suh, MD
- Endocrinology, Diabetes & Metabolism Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD18572
- Practice address
- 9135 SW Barnes Rd
Suite 317
Portland, OR 97225-6601 - Phone
- (503) 297-3336
- Fax
- (503) 297-3338
- NPI assigned
- Jan 10, 2007
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD18572 | OR | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd
Suite 317
Portland, OR 97225-6601
Mailing address
1130 NW 22ND Ave
Suite 400
Portland, OR 97210
Phone (503) 274-4884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121348 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hsuh102706@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of California, Davis School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480
9155 SW Barnes Rd
Suite 638
Portland, OR 97225-6633
Phone (503) 216-7000
9205 SW Barnes Rd
Portland, OR 97225-6603
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
9135 SW Barnes Rd
Ste 317
Portland, OR 97225
Phone (503) 297-3336
9135 SW Barnes Rd
Ste 985
Portland, OR 97225
Phone (503) 297-3336
9155 SW Barnes Rd
Ste 638
Portland, OR 97225
Phone (503) 216-7000
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
Interoperability endpoints
- hsuh102706@oc.providencedirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Providence Medical Group
- Family Medicine Physician
- Portland, OR
- NPI 1164522496
-
dba Prov St. Vincent Medical Ctr
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
dba Providence Medical Group
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
dba Providence Medical Group
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
dba Providence Medical Group
- Clinic/Center
- Portland, OR
- NPI 1326272741
Hospital
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1952450561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 NW 22ND AVE",
"address_2": "SUITE 400",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-274-4884",
"fax_number": "503-274-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD",
"address_2": "SUITE 317",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256601",
"telephone_number": "503-297-3336",
"fax_number": "503-297-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "HYUN",
"middle_name": "SOOK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2023-03-07",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OR",
"license": "MD18572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121348",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hsuh102706@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9155 SW Barnes Rd Ste 638",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256633",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.