HUAN SU D.D.S.
NPI 1194058669
Dentist - Periodontics in Tacoma, WA
About Huan Su D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUAN SU D.D.S. (NPI 1194058669) is an individual periodontics provider in Tacoma, Washington, licensed in Washington (DE60101496) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Huan Su D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Huan Su reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burien, WA 98166
- Reassigned Medicare billing, Washington enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98405
TACOMA, WA 98405
TACOMA, WA 98405
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 Huan Su's NPI number?
The NPI number for Huan Su is 1194058669. It was assigned to this individual provider in the NPPES registry on September 15, 2009.
Where is Huan Su located?
Huan Su practices at 2302 S Union Ave Building C Suite 22, Tacoma, WA 98405. The listed phone number is (253) 752-6336.
What is Huan Su's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Huan Su enrolled in Medicare?
Yes. Huan Su is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Huan Su's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Huan Su reassigns Medicare benefits to H Todd Su DDS PLLC (Burien, WA). 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 Huan Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Huan Su accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Huan Su as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Huan Su was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Huan Su, D.D.S. · NPI 1194058669
Periodontics provider in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since September 15, 2009.
## Identity
- **NPI:** 1194058669 (Entity type: Individual)
- **Enumerated:** September 15, 2009
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** DE60101496 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2302 S UNION AVE, BUILDING C SUITE 22, Tacoma, WA 98405-1300
- **Phone:** (253) 752-6336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** H Todd Su DDS PLLC (NPI 1861748766, Burien, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1194058669) · Data from the CMS NPPES public registry.