Individual provider Active NPI

Johnny G Su, MD

  • Rheumatology Physician
  • Hudson, OH
National Provider Identifier
1962422030
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35.084920 Issued in OH
Practice address
231 Seasons Rd
Suite 300
Hudson, OH 44224
Phone
(330) 662-5667
Fax
(330) 255-5081
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 35.084920 OH Primary

Addresses

Primary practice location

231 Seasons Rd
Suite 300
Hudson, OH 44224

Mailing address

Arthritis Clinic of Stark County
4160 Holiday St NW
Canton, OH 44718
Phone (330) 492-4966

Other practice location 1

Arthritis Clinic of Stark County
4160 Holiday St NW
Canton, OH 44718
Phone (330) 492-4966

Other identifiers 1

IdentifierTypeStateIssuer
2495858MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040920000860 OH Practitioner - RheumatologyPractitioner - Internal Medicine 7113995911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Michigan Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

2660 W Market St
Suite 101
Fairlawn, OH 44333-4209
Phone (330) 926-3231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
77.19
Promoting interoperability
100
Improvement activities
40
Cost
78.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Network, LLC Rheumatology CurrentSince Oct 1, 2023 Accepting new patients
Unity Health Network, LLC CurrentSince Oct 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

231 Seasons Rd
Ste 300
Cuyahoga Falls, OH 44224
Phone (330) 662-5666

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

2660 W Market St
Ste 101
Fairlawn, OH 44333
Phone (330) 867-9303

Interoperability endpoints

  • Direct secure messaging: johnny.su@wrhs.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1962422030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ARTHRITIS CLINIC OF STARK COUNTY",
            "address_2": "4160 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-492-4966",
            "fax_number": "330-492-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SEASONS RD",
            "address_2": "SUITE 300",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-662-5667",
            "fax_number": "330-255-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Arthritis Clinic of Stark County",
            "address_2": "4160 Holiday St NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "44718",
            "country_code": "US",
            "telephone_number": "330-492-4966",
            "fax_number": "330-492-9344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "JOHNNY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35.084920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2495858",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.