DR. HANNAH STANG SU MD
NPI 1144897349
Student in an Organized Health Care Education/Training Program in San Pablo, CA

Q: What is Hannah Su's NPI number?

The NPI number for Hannah Su is 1144897349. It was assigned to this individual provider in the NPPES registry on June 7, 2021. The provider is also known as Dr. Hannah Stang Gerdes MD.

Q: What is Hannah Su's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hannah Su was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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 June 07, 2021PECOS Enrolled

13601 SAN PABLO AVE, SAN PABLO, CA 94806(510) 231-9400(925) 957-5401 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Hannah Stang Su Md NPPES

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

DR. HANNAH STANG SU MD (NPI 1144897349) is an individual student in an organized health care education/training program in San Pablo, California and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2021).

NPPES Registry Identity

NPI1144897349

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. HANNAH STANG SUCredential: MD

Location Address13601 SAN PABLO AVESan Pablo, CA 94806-3818

Mailing Address13601 San Pablo AveSan Pablo, CA 94806-3818 · (510) 231-9400 · Fax (925) 957-5401

Phone(510) 231-9400

Fax(925) 957-5401

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2021

Enumeration DateJune 7, 2021

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1144897349 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.

13601 SAN PABLO AVE, San Pablo, CA 94806

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Other Names 1

Former Name (1)Dr. Hannah Stang Gerdes Md

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

PECOS PAC ID2062995566

PECOS Enrollment IDI20260312003064

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.

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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.

MS. RACHEL LEIGH GREENBERG

Psychologist (Clinical)