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

NPI Status: Active since March 31, 2019

Contact Information

500 W PUTNAM AVE FL 2
GREENWICH, CT
ZIP 06830
Phone: (877) 925-3637

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  • Individual
  • Female
  • Years of Experience 7
  • Orthopaedic Surgery
  • Pediatric Orthopaedic Surgery
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About MARISA SU

This page provides the complete NPI Profile along with additional information for Marisa Su, a provider established in Greenwich, Connecticut with a medical specialization in Orthopaedic Surgery, focusing in pediatric orthopaedic surgery and more than 7 years of experience. She graduated from Drexel University College Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1578024592 assigned on March 2019. The practitioner's primary taxonomy code is 207XP3100X with license number CSP.0090486 (CT). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1578024592
Provider Name
DR. MARISA YUE-TING SU MD
Gender
Female
Entity Type
Individual
Location Address
500 W PUTNAM AVE FL 2 GREENWICH, CT 06830
Location Phone
(877) 925-3637
Mailing Address
PO BOX 208071 NEW HAVEN, CT 06520
Mailing Phone
(203) 785-2941
Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
03-31-2019
Last Update Date
09-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Pediatric Orthopaedic Surgery

Taxonomy Code
207XP3100X
Type
Allopathic & Osteopathic Physicians
License No.
CSP.0090486
License State
CT
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Marisa Su is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Marisa Su is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8729316302

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251017001921

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1578024592, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 0 + 2 + 8 + 5 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1578024592.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
500 W PUTNAM AVE FL 2
GREENWICH, CT 06830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578024592, enumerated as an "individual" on March 31, 2019.

The provider is located at 500 W PUTNAM AVE FL 2 GREENWICH, CT 06830 and the phone number is (877) 925-3637.

Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.