ANGEL JUNGHEE SU MD
NPI 1194285056
Radiology - Diagnostic Radiology in Phoenix, AZ

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 7, 2025, Feb 7, 2025, Jul 12, 2024 and 1 more (4 updates tracked since 2020).

About Angel Junghee Su Md NPPES

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

ANGEL JUNGHEE SU MD (NPI 1194285056) is an individual diagnostic radiology provider in Phoenix, Arizona, licensed in Georgia (99650) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194285056
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameANGEL JUNGHEE SUCredential: MD
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619
Fax(602) 263-1619
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateNovember 7, 20254 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1194285056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in GA · 99650
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4212 N 16TH ST, Phoenix, AZ 85016

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angel Junghee Su Md 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 ID5496247082
PECOS Enrollment IDI20251121000470
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016

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 Angel Su's NPI number?

The NPI number for Angel Su is 1194285056. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Angel Su located?

Angel Su practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Angel Su's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Angel Su enrolled in Medicare?

Yes. Angel Su 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.

Is Angel Su affiliated with any hospitals?

According to CMS data, Angel Su is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Angel Su was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.