NPI Details
Simon Yongquan Su, MD is an internal medicine in Philadelphia, PA with 42 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. Simon Yongquan Su, MD NPI is 1346229044. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
109 N 9TH ST
PHILADELPHIA, PA
ZIP 19107-410
Phone: (215) 923-2810
Fax: (215) 923-2925
The NPI 1346229044 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist (HCPCS:G0454)
- Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
- Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use (HCPCS:91301)
- Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Assessment of and care planning for impaired thought processing, typically 50 minutes (HCPCS:99483)
The enumeration date for this NPI number is 1/11/2006 and was last updated on 4/19/2011.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | MD065401Y | PENNSYLVANIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | G76459 | MEDICARE UPIN | | |
| 2 | 022225 | MEDICARE ID-TYPE UNSPECIFIED | PENNSYLVANIA | |
| 3 | 01733013 | MEDICAID | PENNSYLVANIA | |
