LILLIAN SU M.D.
NPI 1326248642
Pediatrics - Pediatric Critical Care Medicine in Phoenix, AZ

Q: What is Lillian Su's NPI number?

The NPI number for Lillian Su is 1326248642. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Q: What is Lillian Su's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Lillian Su was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 24, 2007PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-8510 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lillian Su M.d. NPPES

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

LILLIAN SU M.D. (NPI 1326248642) is an individual pediatric critical care medicine provider in Phoenix, Arizona, licensed in Arizona (64843) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326248642

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameLILLIAN SUCredential: M.D.

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-7761 · (602) 933-3124

Phone(602) 933-8510

Sole ProprietorNo

Enumeration DateJuly 24, 2007

Last NPPES UpdateMarch 18, 2022

NPPES CertifiedMarch 18, 2022

✔ NPI 1326248642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AZ · 64843

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1919 E THOMAS RD, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillian Su M.d. 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.

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.

DR. TIMUR RAGHIB M.D.

Hospitalist