Provider Type Icon

MR. ANDRES SU M.D. NPI 1194164624


NPI Information

NPI: 1194164624
Provider Name: MR. ANDRES SU, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: THE EMORY CLINIC, INC

PECOS Registration: Yes

Address:
2100 DORCHESTER AVE
DORCHESTER, MA
ZIP 02124
Phone: (617) 296-4000
Get Directions

MR. Andres Su, M.D. is an internal medicine in Dorchester, MA with 11 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MR. Andres Su, M.D. NPI is 1194164624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

2100 DORCHESTER AVE
DORCHESTER, MA
ZIP 02124-615
Phone: (617) 296-4000

The NPI 1194164624 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2013 and was last updated on 7/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine255449MASSACHUSETTSYes
22085R0202XRadiologyDiagnostic Radiology83546GEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.