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SU THE KHINE
NPI 1023697307
Student in an Organized Health Care Education/Training Program in Flint, MI

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2024, Apr 5, 2021 (2 updates tracked since 2021).

About Su The Khine NPPES

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

SU THE KHINE (NPI 1023697307) is an individual student in an organized health care education/training program in Flint, Michigan and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023697307
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSU THE KHINE
Location Address1 HURLEY PLZFlint, MI 48503-5902
Mailing Address1 Hurley PlzFlint, MI 48503-5902 · (810) 262-9000
Phone(810) 262-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 5, 2021
Last NPPES UpdateOctober 15, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1023697307 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.
1 HURLEY PLZ, Flint, MI 48503
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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 and accepts Medicare assignment

Su The Khine is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991238537
PECOS Enrollment IDI20241104002696
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 20

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

DR. RYAN J. REECE M.D.
Emergency Medicine
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9854
LAUREN NEMETZ M.A., CCC-SLP
Speech-Language Pathologist
1 HURLEY PLZ, 6E REHABILITATION- SPEECH THERAPY
FLINT, MI 48503
Genesee County (810) 262-7279
KERRY KATHLEEN DYER
Physical Therapist
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-6878
ANGELI V MANTOS
Physical Therapist
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-2441
DR. ADENIKE FATIREGUN MD
Student in an Organized Health Care Education/Training Program
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9000
ALEESHA KILBREATH PA-C
Physician Assistant (Surgical)
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 762-7038
GABRIEL MULLINS CRNA
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (517) 740-8810
FRANCIS C WELLS PA-C
Physician Assistant
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9000

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 Su Khine's NPI number?

The NPI number for Su Khine is 1023697307. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Su Khine located?

Su Khine practices at 1 Hurley Plz, Flint, MI 48503. The listed phone number is (810) 262-9000.

What is Su Khine's specialty?

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

Is Su Khine enrolled in Medicare?

Yes. Su Khine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Su Khine was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.