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JASON T SU DO
NPI 1427137991
Pediatrics - Pediatric Cardiology in Provo, UT

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
1055 N 300 W STE 311, PROVO, UT 84604(385) 477-6800(385) 477-6801 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Jun 11, 2020 (2 updates tracked since 2020).

About Jason T Su Do NPPES

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

JASON T SU DO (NPI 1427137991) is an individual pediatric cardiology provider in Provo, Utah, licensed in Utah (5665627-1204) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Scarborough.

NPPES Registry Identity

NPI1427137991
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJASON T SUCredential: DO
Location Address1055 N 300 W STE 311Provo, UT 84604-3373
Mailing Address1055 N 300 W Ste 311Provo, UT 84604-3373 · (385) 477-6800 · Fax (385) 477-6801
Phone(385) 477-6800
Fax(385) 477-6801
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 18, 20242 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1427137991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in UT · 5665627-1204✔ Licensed in ME · DO3974
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1055 N 300 W STE 311, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Location 1

Location 171 US Route 1 Ste CScarborough, ME 04074-7174 · Phone (207) 883-5532

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc. and more.Insurance ›

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

Jason T 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 ID143291427
PECOS Enrollment IDI20241029000329
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

DR. CHUANCHAU JERRY JOU DO
Pediatrics (Pediatric Cardiology)
1055 N 300 W STE 311
PROVO, UT 84604
Utah County (385) 477-6800
TAMARA JEAN EWAN NURSE PRACTITIONER
Nurse Practitioner (Family)
1055 N 300 W STE 311
PROVO, UT 84604
Utah County (801) 852-9601
EMILY ALLRED FNP-C
Family Medicine
1055 N 300 W STE 311
PROVO, UT 84604
Utah County (385) 477-6800
DR. DOUGLAS JAMES LATER D.O.
Pediatrics
1055 N 300 W STE 311
PROVO, UT 84604
Utah County (801) 357-7883

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 Jason Su's NPI number?

The NPI number for Jason Su is 1427137991. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Jason Su located?

Jason Su practices at 1055 N 300 W Ste 311, Provo, UT 84604. The listed phone number is (385) 477-6800.

What is Jason Su's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jason Su enrolled in Medicare?

Yes. Jason 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.

What insurance does Jason Su accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Medica and Molina Healthcare and 4 other insurers list Jason 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.

Is Jason Su affiliated with any hospitals?

According to CMS data, Jason Su is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Su was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.