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MICHAEL SU
NPI 1245617406
Pediatrics in Marysville, WA

Active since April 27, 2015PECOS Enrolled
2901 174TH ST NE, MARYSVILLE, WA 98271(360) 454-1900(360) 454-1991 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Sep 16, 2022, Mar 11, 2020 (3 updates tracked since 2020).

About Michael Su NPPES

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

MICHAEL SU (NPI 1245617406) is an individual pediatrics provider in Marysville, Washington, licensed in Washington (MD61301644) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245617406
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMICHAEL SU
Location Address2901 174TH ST NEMarysville, WA 98271-4743
Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414
Phone(360) 454-1900
Fax(360) 454-1991
Sole ProprietorNo
Enumeration DateApril 27, 2015
Last NPPES UpdateMay 14, 20263 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1245617406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WA · MD61301644✔ Licensed in KS · 04-42074
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2901 174TH ST NE, Marysville, WA 98271
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98271 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

RYAN PATRICK HASKELL
Physical Therapist
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1945
DURDANA NAZ IQBAL
Pharmacist
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1953
OSCAR DAVID ESCALANTE MC 60452829
Counselor (Mental Health)
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1900
KAREN A MAYNARD PT
Physical Therapist
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1945
CHRISTOPHER BOLANDER D.O.
Family Medicine
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1900
DR. AMY S CHENG MD
Dermatology (Clinical & Laboratory Dermatological Immunology)
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1917
DR. SARAH EVA BERGMAN LEWIS M.D.
Pediatrics
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1900
ASHLEY LEE DO
Family Medicine (Sports Medicine)
2901 174TH ST NE
MARYSVILLE, WA 98271
Snohomish County (360) 454-1900

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 Michael Su's NPI number?

The NPI number for Michael Su is 1245617406. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Michael Su located?

Michael Su practices at 2901 174th St NE, Marysville, WA 98271. The listed phone number is (360) 454-1900.

What is Michael Su's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michael Su enrolled in Medicare?

Yes. Michael Su is registered in the Medicare PECOS enrollment system.

What insurance does Michael Su accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael 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 Michael Su was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.