BRIAN SU MD
NPI 1205307154
Internal Medicine in Fort Wayne, IN

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6620(260) 672-6639 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2026, Sep 11, 2024, Aug 15, 2023 and 2 more (5 updates tracked since 2018).

About Brian Su Md NPPES

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

BRIAN SU MD (NPI 1205307154) is an individual internal medicine provider in Fort Wayne, Indiana, licensed in Indiana (01099129A) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1205307154
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN SUCredential: MD
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 672-6639
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateDecember 17, 2018
Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1205307154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01099129A✔ Licensed in NY · 317628
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 317628 (NY)
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Accepted 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

Brian 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 ID4688036031
PECOS Enrollment IDI20240920001663, I20260224004598
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 Reassignments

4

Medicare enrollment records show Brian Su reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
11109 PARKVIEW PLAZA DR
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
Surgery
1545 ATLANTIC AVENUE, FACULTY PRACTICE
Brooklyn, NY 11213
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Interfaith Professional Physician Services PC
  • 635 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

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 Brian Su's NPI number?

The NPI number for Brian Su is 1205307154. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Brian Su located?

Brian Su practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 672-6620.

What is Brian Su's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Su enrolled in Medicare?

Yes. Brian 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.

Which organizations bill Medicare for Brian Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Su reassigns Medicare benefits to 4 organizations: Parkview Health System, Inc. (Fort Wayne, IN), Brookdale Hospital Medical Center (Brooklyn, NY), Interfaith Professional Physician Services, P.C. (Brooklyn, NY) and New York University (Boynton Beach, FL). Each 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 Brian Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Su accept?

Health plans from CareSource list Brian 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.

Is Brian Su affiliated with any hospitals?

According to CMS data, Brian Su is affiliated with Parkview Regional Medical Center, Long Island Community Hospital and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Brian Su was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.