RUMIE SU MD
NPI 1063501542
Pediatrics in Harbor City, CA

Q: What is Rumie Su's NPI number?

The NPI number for Rumie Su is 1063501542. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Rumie Su's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rumie Su was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 12, 2006PECOS Enrolled

25965 NORMANDIE AVE, HARBOR CITY, CA 90710(310) 257-5179(310) 517-4520 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Rumie Su Md NPPES

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

RUMIE SU MD (NPI 1063501542) is an individual pediatrics provider in Harbor City, California, licensed in California (A51099) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063501542

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameRUMIE SUCredential: MD

Location Address25965 NORMANDIE AVEHarbor City, CA 90710-3416

Mailing Address393 E Walnut St, 3rd Floor Se Phr SystemPasadena, CA 91188-0001 · (626) 405-7914 · Fax (626) 405-6768

Phone(310) 257-5179

Fax(310) 517-4520

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateNovember 29, 2021

✔ NPI 1063501542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A51099

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

25965 NORMANDIE AVE, Harbor City, CA 90710

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Other Identifiers 1

Medicaid00A510990CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rumie 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RYAN AKIRA IWAMOTO PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)