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FREDERICK YANFENG SU M.D
NPI 1346506110
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 05, 2012PECOS EnrolledAccepts Medicare Assignment
1740 W TAYLOR ST, UIC HOSPITAL, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 14, 2022, Dec 5, 2015 (2 updates tracked since 2015).

About Frederick Yanfeng Su M.d NPPES

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

FREDERICK YANFENG SU M.D (NPI 1346506110) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2012).

NPPES Registry Identity

NPI1346506110
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFREDERICK YANFENG SUCredential: M.D
Location Address1740 W TAYLOR ST, UIC HOSPITALChicago, IL 60612-7232
Mailing Address912 S. Wood Street, Neuropsychiatry InstituteChicago, IL 60612 · (866) 600-2273
Phone(866) 600-2273
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2012
Enumeration DateApril 5, 2012
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1346506110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1740 W TAYLOR ST, Chicago, IL 60612
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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 and accepts Medicare assignment

Frederick Yanfeng Su M.d 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 ID941501258
PECOS Enrollment IDI20161024001018
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.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Frederick Su's NPI number?

The NPI number for Frederick Su is 1346506110. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Frederick Su located?

Frederick Su practices at 1740 W Taylor St Uic Hospital, Chicago, IL 60612. The listed phone number is (866) 600-2273.

What is Frederick Su's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Frederick Su enrolled in Medicare?

Yes. Frederick 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.

When was this NPI record last updated?

The NPPES record for Frederick Su was last updated on January 14, 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.