LOLA KAN SUE MD
NPI 1437289311
Family Medicine in Winslow, AZ

Q: What is Lola Sue's NPI number?

The NPI number for Lola Sue is 1437289311. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Q: What is Lola Sue's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lola Sue was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 March 07, 2007PECOS Enrolled

500 INDIANA AVE, WINSLOW, AZ 86047(928) 289-4646(928) 289-6290 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Lola Kan Sue Md NPPES

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

LOLA KAN SUE MD (NPI 1437289311) is an individual family medicine provider in Winslow, Arizona, licensed in Arizona (23895) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437289311

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLOLA KAN SUECredential: MD

Location Address500 INDIANA AVEWinslow, AZ 86047-2169

Mailing Address500 Indiana AveWinslow, AZ 86047-2169 · (928) 289-4646 · Fax (928) 289-6290

Phone(928) 289-4646

Fax(928) 289-6290

Sole ProprietorNo

Enumeration DateMarch 7, 2007

Last NPPES UpdateNovember 1, 2007

✔ NPI 1437289311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 23895

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

500 INDIANA AVE, Winslow, AZ 86047

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Other Identifiers 5

Medicare UPING43690

Medicare PIN8EB014AZ

Medicaid413857AZ

Medicare PIN8EB015AZ

Medicare PIN8EB016AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lola Kan Sue Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86047 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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.

JAI MAHESH PATEL PHARMD

Pharmacist (Pharmacotherapy)