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DR. ROGER SU MD
NPI 1003540451
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since July 12, 2022PECOS Enrolled
833 CAMPBELL HILL ST. NW, SUITE 250, MARIETTA, GA 30060(470) 956-2020(770) 999-2785 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger Su Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER SU MD (NPI 1003540451) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003540451
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ROGER SUCredential: MD
Location Address833 CAMPBELL HILL ST. NW, SUITE 250Marietta, GA 30060-1162
Mailing Address677 Church St., Green Tower, Lower LevelMarietta, GA 30060-1101
Phone(470) 956-2020
Fax(770) 999-2785
Sole ProprietorYes
Enumeration DateJuly 12, 2022
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1003540451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
833 CAMPBELL HILL ST. NW, Marietta, GA 30060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roger Su Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL DRINNON ROSS DO
Student in an Organized Health Care Education/Training Program
833 CAMPBELL HILL ST. NW, SUITE 250
MARIETTA, GA 30060
Cobb County (470) 956-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Su's NPI number?

The NPI number for Roger Su is 1003540451. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Roger Su located?

Roger Su practices at 833 Campbell Hill St. NW Suite 250, Marietta, GA 30060. The listed phone number is (470) 956-2020.

What is Roger Su's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Roger Su enrolled in Medicare?

Yes. Roger Su is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roger Su was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.