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BOWEI SU DO
NPI 1356923643
Anesthesiology in Moreno Valley, CA

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment
26520 CACTUS AVE RM F2028, MORENO VALLEY, CA 92555(951) 486-4753(951) 486-4560 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, Apr 26, 2021 (2 updates tracked since 2021).

About Bowei Su Do NPPES

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

BOWEI SU DO (NPI 1356923643) is an individual anesthesiology provider in Moreno Valley, California, licensed in California (20A23335) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356923643
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameBOWEI SUCredential: DO
Location Address26520 CACTUS AVE RM F2028Moreno Valley, CA 92555-3927
Mailing Address26520 Cactus Ave Rm F2028Moreno Valley, CA 92555-3927 · (951) 486-4753 · Fax (951) 486-4560
Phone(951) 486-4753
Fax(951) 486-4560
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 26, 2021
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1356923643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · 20A23335
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
26520 CACTUS AVE RM F2028, Moreno Valley, CA 92555
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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

Bowei Su Do 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 ID3971014044
PECOS Enrollment IDI20250616002380
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 Reassignment

Medicare enrollment records show Bowei Su reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Clinical Pathology
26520 CACTUS AVE
Moreno Valley, CA 92555
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1275191926 (909) 558-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW MIN KIM MD
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE RM F2028
MORENO VALLEY, CA 92555
Riverside County (951) 486-4560

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 Bowei Su's NPI number?

The NPI number for Bowei Su is 1356923643. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Bowei Su located?

Bowei Su practices at 26520 Cactus Ave Rm F2028, Moreno Valley, CA 92555. The listed phone number is (951) 486-4753.

What is Bowei Su's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Bowei Su enrolled in Medicare?

Yes. Bowei 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 organization bills Medicare for Bowei Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bowei Su reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Moreno Valley, CA). The 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 Bowei Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bowei Su was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.