DR. JINGDONG SU NPI 1669607479

NPI Information

  • NPI: 1669607479
  • Provider Name: DR. JINGDONG SU
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 SAUNDERS AVE STE 200
    TYLER, TX
    ZIP 75702
  • Phone: (903) 579-9800

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NPI Details

DR. Jingdong Su is a hematology and oncology internal medicine in Tyler, TX with 40 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Jingdong Su NPI is 1669607479. 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:

501 SAUNDERS AVE STE 200
TYLER, TX
ZIP 75702-524
Phone: (903) 579-9800
Fax: (903) 592-5988

The NPI 1669607479 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.

  • Injection, levoleucovorin, not otherwise specified, 0.5 mg (HCPCS:J0641)
  • Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) (HCPCS:Q0138)
  • Injection, pembrolizumab, 1 mg (HCPCS:J9271)
  • Injection, paclitaxel, 1 mg (HCPCS:J9267)
  • Injection, nivolumab, 1 mg (HCPCS:J9299)
  • Injection, oxaliplatin, 0.5 mg (HCPCS:J9263)
  • Injection, darbepoetin alfa, 1 microgram (non-esrd use) (HCPCS:J0881)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, iron sucrose, 1 mg (HCPCS:J1756)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg (HCPCS:J1568)
  • Injection, docetaxel, 1 mg (HCPCS:J9171)
  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg (HCPCS:Q5119)
  • Injection, atezolizumab, 10 mg (HCPCS:J9022)
  • Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg (HCPCS:Q5107)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Injection, granisetron hydrochloride, 100 mcg (HCPCS:J1626)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of additional new drug or substance into vein (HCPCS:96375)
  • Injection, carboplatin, 50 mg (HCPCS:J9045)
  • Injection, palonosetron hcl, 25 mcg (HCPCS:J2469)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Injection, pegfilgrastim, excludes biosimilar, 0.5 mg (HCPCS:J2506)
  • Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg (HCPCS:J9201)
  • Injection, fluorouracil, 500 mg (HCPCS:J9190)
  • Injection, zoledronic acid, 1 mg (HCPCS:J3489)
  • Gammaglobulin (immune system protein) measurement (HCPCS:82784)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Administration of additional new drug or substance into vein, 1 hour or less (HCPCS:96417)
  • Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less (HCPCS:96367)
  • Injection, diphenhydramine hcl, up to 50 mg (HCPCS:J1200)
  • Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a (HCPCS:G9678)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Injection, potassium chloride, per 2 meq (HCPCS:J3480)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration of chemotherapy into vein, each additional hour (HCPCS:96415)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Microscopic examination for white blood cells with manual cell count (HCPCS:85007)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Injection, fosnetupitant 235 mg and palonosetron 0.25 mg (HCPCS:J1454)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Unclassified drugs (HCPCS:J3490)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Reticulated (young) platelet measurement (HCPCS:85055)
  • Magnesium level (HCPCS:83735)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Iron binding capacity (HCPCS:83550)
  • Injection, magnesium sulfate, per 500 mg (HCPCS:J3475)
  • Iron level (HCPCS:83540)
  • Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96401)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Infusion into a vein for therapy, prevention, or diagnosis, each additional hour (HCPCS:96366)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS:G6013)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • Irrigation of implanted venous access drug delivery device (HCPCS:96523)
  • Carcinoembryonic antigen (cea) protein level (HCPCS:82378)
  • Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Application of on-body injector for under skin injection (HCPCS:96377)
  • Administration of additional new drug or substance into vein using push technique (HCPCS:96411)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Phosphatase (enzyme) level, alkaline (HCPCS:84075)
  • Liver enzyme (sgot), level (HCPCS:84450)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Total protein level, blood (HCPCS:84155)
  • Albumin (protein) level (HCPCS:82040)
  • Lactate dehydrogenase (enzyme) level (HCPCS:83615)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l (HCPCS:G0498)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Infusion into a vein for hydration, each additional hour (HCPCS:96361)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion (HCPCS:96368)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)

The enumeration date for this NPI number is 5/22/2009 and was last updated on 7/8/2023.

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
1207R00000XInternal MedicineQ8359TEXASNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207RH0003XInternal MedicineHematology & OncologyQ8359TEXASYes

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
1358108401MEDICAIDTEXAS
2P01701263OTHERTEXASRAILROAD

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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