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IVANA SU
NPI 1528731601
Physician Assistant in Astoria, NY

Active since July 26, 2021PECOS EnrolledAccepts Medicare Assignment
2510 30TH AVE, ASTORIA, NY 11102(718) 932-1000 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivana Su NPPES

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

IVANA SU (NPI 1528731601) is an individual physician assistant in Astoria, New York and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2021).

NPPES Registry Identity

NPI1528731601
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameIVANA SU
Location Address2510 30TH AVEAstoria, NY 11102-2448
Mailing Address2510 30th AveAstoria, NY 11102-2448 · (718) 932-1000
Phone(718) 932-1000
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2021
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1528731601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2510 30TH AVE, Astoria, NY 11102
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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 and accepts Medicare assignment

Ivana Su 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 ID8921406604
PECOS Enrollment IDI20211011001255
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 11102 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

ASIF MURSHED CHOWDHURY PA-C
Physician Assistant
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
KAMILIA AIT BELKACEM PA
Physician Assistant
2510 30TH AVE
ASTORIA, NY 11102
Queens County (347) 862-8380
NIA GRANT PA
Physician Assistant
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
JEAN CLAUDE BAYLE MD
Surgery
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 267-4245
JENNIFER WANG
Physician Assistant
2510 30TH AVE
ASTORIA, NY 11102
Queens County (718) 267-4262
MR. MIYASEKI SAKAEDA PARAGAS NP
Nurse Practitioner (Family)
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 808-7790
DR. MARIAM NOOR
Pharmacist
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
KAREN XU RPH
Pharmacist
2510 30TH AVE
ASTORIA, NY 11102
Queens County (718) 267-4267

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 Ivana Su's NPI number?

The NPI number for Ivana Su is 1528731601. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Ivana Su located?

Ivana Su practices at 2510 30th Ave, Astoria, NY 11102. The listed phone number is (718) 932-1000.

What is Ivana Su's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ivana Su enrolled in Medicare?

Yes. Ivana 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.

When was this NPI record last updated?

The NPPES record for Ivana Su was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.