Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA SU MD
NPI 1417536806
Orthopaedic Surgery in La Jolla, CA

Q: What is Lisa Su's NPI number?

The NPI number for Lisa Su is 1417536806. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Lisa Su's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Su was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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 April 05, 2021PECOS Enrolled

10710 N TORREY PINES RD, LA JOLLA, CA 92037(858) 554-7993 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Su Md NPPES

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

LISA SU MD (NPI 1417536806) is an individual orthopaedic surgery provider in La Jolla, California, licensed in California (A184957) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2021).

NPPES Registry Identity

NPI1417536806

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameLISA SUCredential: MD

Location Address10710 N TORREY PINES RDLa Jolla, CA 92037-1035

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 554-7993

Phone(858) 554-7993

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2021

Enumeration DateApril 5, 2021

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1417536806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in CA · A184957

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License A184957 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10710 N TORREY PINES RD, La Jolla, CA 92037

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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)

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

PECOS PAC ID3577958636

PECOS Enrollment IDI20260716003819

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 92037 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

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.

MS. JUMAI FATHIYA DAWUDA NP

Nurse Practitioner (Family)