SU THE KHINE
NPI 1023697307
Student in an Organized Health Care Education/Training Program in Flint, MI
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Su Khine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hemet, CA 92545
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FLINT, MI 48503
FLINT, MI 48503
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.
Which organization bills Medicare for Su Khine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Su Khine reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Su Khine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Su Khine was last updated on October 15, 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.
# Su The Khine · NPI 1023697307
Student in an Organized Health Care Education/Training Program provider in Flint, Michigan. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1023697307 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HURLEY PLZ, Flint, MI 48503-5902
- **Phone:** (810) 262-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1013433465, Hemet, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023697307) · Data from the CMS NPPES public registry.