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DR. MARISA YUE-TING SU MD
NPI 1578024592
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Greenwich, CT

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment
500 W PUTNAM AVE FL 2, GREENWICH, CT 06830(877) 925-3637 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marisa Yue-ting Su Md NPPES

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

DR. MARISA YUE-TING SU MD (NPI 1578024592) is an individual pediatric orthopaedic surgery provider in Greenwich, Connecticut, licensed in Connecticut (CSP.0090486) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2019).

NPPES Registry Identity

NPI1578024592
Entity TypeIndividualFemale
Primary Taxonomy207XP3100X
Provider Legal NameDR. MARISA YUE-TING SUCredential: MD
Location Address500 W PUTNAM AVE FL 2Greenwich, CT 06830-2937
Mailing AddressPo Box 208071New Haven, CT 06520-8071 · (203) 785-2941
Phone(877) 925-3637
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2019
Enumeration DateMarch 31, 2019
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1578024592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in CT · CSP.0090486
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
500 W PUTNAM AVE FL 2, Greenwich, CT 06830
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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

Dr. Marisa Yue-ting 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 ID8729316302
PECOS Enrollment IDI20251017001921
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.

Other Providers at the Same Location NPPES 2

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

MISS CATHERINE IRENE GINGRAS LCSW
Social Worker (Clinical)
500 W PUTNAM AVE FL 2
GREENWICH, CT 06830
Western Connecticut Planning Region (475) 227-4371
NICHOLAS MUDRY
Nurse Practitioner (Family)
500 W PUTNAM AVE FL 2
GREENWICH, CT 06830
Western Connecticut Planning Region (877) 925-3637

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 Marisa Su's NPI number?

The NPI number for Marisa Su is 1578024592. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Marisa Su located?

Marisa Su practices at 500 W Putnam Ave Fl 2, Greenwich, CT 06830. The listed phone number is (877) 925-3637.

What is Marisa Su's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Marisa Su enrolled in Medicare?

Yes. Marisa 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 Marisa Su was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.