AMBROSE K SU DPM NPI 1588649297

NPI Information

  • NPI: 1588649297
  • Provider Name: AMBROSE K SU, DPM
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2408 NE DIVISION ST
    BEND, OR
    ZIP 97701
  • Phone: (541) 388-2861

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NPI Details

Ambrose K Su, DPM is a foot surgery podiatrist in Bend, OR with 43 years of experience. Ambrose K Su, DPM NPI is 1588649297. 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:

2408 NE DIVISION ST
BEND, OR
ZIP 97701-543
Phone: (541) 388-2861
Fax: (541) 382-6297

The NPI 1588649297 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).

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, 20-29 minutes (HCPCS:99213)
  • Complete ultrasound scan of joint (HCPCS:76881)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Aspiration and/or injection of fluid from medium joint using ultrasound guidance (HCPCS:20606)
  • Injection into tendon or ligament (HCPCS:20550)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid from small joint using ultrasound guidance (HCPCS:20604)
  • Injection of anesthetic and/or steroid drug into foot nerve (HCPCS:64455)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Correction of toe joint deformity (HCPCS:28285)
  • Closed treatment of dislocated midfoot joint (HCPCS:28600)

The enumeration date for this NPI number is 12/14/2005 and was last updated on 1/16/2013.

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
1213E00000XPodiatristDPOO159OREGONNo
2213E00000XPodiatristDP00159OREGONNo
3213ES0000XPodiatristSports MedicineDP00159OREGONNo
4213ES0103XPodiatristFoot & Ankle SurgeryDP00159OREGONNo
5213ES0131XPodiatristFoot SurgeryDP00159OREGONYes

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
1R00WFBFKBMEDICARE UPINOREGON
213578OTHEROREGONCLEAR CHOICE HEALTH PLANS
3214619MEDICAIDOREGON
4024734001OTHEROREGONBLUE CROSS
5480031260OTHEROREGONRR MEDICARE
61073040001MEDICARE NSCOREGON

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: 11/21/2025

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