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ALEX SU MD
NPI 1508493586
Family Medicine in Berkeley, CA

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
2500 MILVIA ST, BERKELEY, CA 94704(510) 204-5600 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alex Su Md NPPES

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

ALEX SU MD (NPI 1508493586) is an individual family medicine provider in Berkeley, California, licensed in California (A185876) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Rush Medical College Of Rush University (2020).

NPPES Registry Identity

NPI1508493586
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALEX SUCredential: MD
Location Address2500 MILVIA STBerkeley, CA 94704-2636
Mailing Address2500 Milvia StBerkeley, CA 94704-2636
Phone(510) 204-5600
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1508493586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A185876
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.
2500 MILVIA ST, Berkeley, CA 94704
Open in Google Maps ↗

Secondary Practice Location 1

Location 1276 International Cir Ste 3500San Jose, CA 95119-1130 · Phone (408) 972-6884

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

Alex Su Md 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 ID7113308198
PECOS Enrollment IDI20240201003608
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 Alex Su reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation
5.0 mi
Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1366898538 (510) 204-8180

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services23 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

LAER E. HILLARY STREETER MD, MPH
Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
ANGELYN R THOMAS M.D.
Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
STEPHANIE MICHELLE TAI FNP, MSN, RN
Nurse Practitioner (Family)
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
ROXANNE FISCELLA, M.D.
Legal Medicine
2500 MILVIA ST, SUITE 116
BERKELEY, CA 94704
Alameda County (510) 843-0692
DR. THUY THI TRAN OD
Optometrist
2500 MILVIA ST, #208
BERKELEY, CA 94704
Alameda County (510) 548-6630
PETRA FROEHLICH LANDMAN MD
Pediatrics
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
RACHEL BUDKER MD
Obstetrics & Gynecology
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5600
DENISE MICHELLE OCHOA NP-C
Nurse Practitioner (Family)
2500 MILVIA ST
BERKELEY, CA 94704
Alameda County (510) 204-5521

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 Alex Su's NPI number?

The NPI number for Alex Su is 1508493586. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Alex Su located?

Alex Su practices at 2500 Milvia St, Berkeley, CA 94704. The listed phone number is (510) 204-5600.

What is Alex Su's specialty?

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

Is Alex Su enrolled in Medicare?

Yes. Alex 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 Alex Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Su reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, 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 Alex 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 Alex 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 2 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.