Individual provider Active NPI

Gan Su, D.O.

  • Emergency Medicine Physician
  • Madison Heights, MI
National Provider Identifier
1992093652
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q4303 Issued in TX
Practice address
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone
(248) 967-7795
Fax
(248) 967-7794
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101019329 MI
Emergency Medicine Physician 207P00000X Q4303 TX Primary

Addresses

Primary practice location

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Mailing address

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160215002304 TX Practitioner - Emergency Medicine 5799905501 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Level One Emergency Specialists LLC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Dec 29, 2015 Accepting new patients
Level One Emergency Physicians LLC Emergency Medicine CurrentSince Sep 23, 2022 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Dec 29, 2015 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jul 23, 2025 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

26791 US Highway 380 E
Aubrey, TX 76227
Phone (972) 347-2525

12500 South Fwy
Burleson, TX 76028
Phone (817) 447-2323

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3095 Kingswood Blvd
Ste 100
Grand Prairie, TX 75052
Phone (972) 854-0009

620 S Main St
Ste 100
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

4226 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0857

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1992093652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7795",
            "fax_number": "248-967-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7795",
            "fax_number": "248-967-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "GAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101019329",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q4303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.