DR. PETER SHAO YOU SU M.D.
NPI 1164721627
Physical Medicine & Rehabilitation - Pain Medicine in Las Vegas, NV

Q: What is Peter Su's NPI number?

The NPI number for Peter Su is 1164721627. It was assigned to this individual provider in the NPPES registry on March 23, 2011. The provider is also known as Shao You Su.

Q: What is Peter Su's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Peter Su was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 23, 2011PECOS EnrolledAccepts Medicare Assignment

9260 W SUNSET RD STE 306, LAS VEGAS, NV 89148(702) 779-3994 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 25, 2023, Oct 12, 2021 (2 updates tracked since 2021).

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About Dr. Peter Shao You Su M.d. NPPES

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

DR. PETER SHAO YOU SU M.D. (NPI 1164721627) is an individual pain medicine provider in Las Vegas, Nevada, licensed in Nevada (16537) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2005).

NPPES Registry Identity

NPI1164721627

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameDR. PETER SHAO YOU SUCredential: M.D.

Location Address9260 W SUNSET RD STE 306Las Vegas, NV 89148-4903

Mailing Address8545 W Warm Springs Rd Ste A4, #396Las Vegas, NV 89113-3677 · (702) 789-9698

Phone(702) 779-3994

Sole ProprietorYes

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2005

Enumeration DateMarch 23, 2011

Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1164721627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in NV · 16537

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 16537 (NV)

9260 W SUNSET RD STE 306, Las Vegas, NV 89148

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Other Names 1

Former Name (1)Shao You Su

Secondary Practice Locations 2

Location 16420 Spring Mountain Rd Ste 17Las Vegas, NV 89146-8835 · Phone (702) 779-3994 · Fax (888) 464-0838

Location 22863 Saint Rose PkwyHenderson, NV 89052-4806 · Phone (702) 779-3994 · Fax (888) 464-0838

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

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

Dr. Peter Shao You Su M.d. 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 ID9739477993

PECOS Enrollment IDI20161006000354

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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Su reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peter Su MD LLC

Same address

Pain Medicine

9260 W SUNSET RD STE 306
Las Vegas, NV 89148

Reassigned Medicare billing, Nevada enrollment

NPI 1073275566 (702) 779-3994

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

175 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Other Providers at the Same Location NPPES 6

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

PETER SU MD LLC

Physical Medicine & Rehabilitation (Pain Medicine)