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BOH KYEONG SUH
NPI 1598631863
Dentist in Madison, WI

Active since October 14, 2025PECOS Enrolled
1320 MENDOTA ST STE 107, MADISON, WI 53714(608) 665-2752 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boh Kyeong Suh NPPES

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

BOH KYEONG SUH (NPI 1598631863) is an individual dentist in Madison, Wisconsin, licensed in Wisconsin (6001926-15) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598631863
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBOH KYEONG SUH
Location Address1320 MENDOTA ST STE 107Madison, WI 53714-1096
Mailing Address9305 Moynello CtElk Grove, CA 95624-1633
Phone(608) 665-2752
Sole ProprietorNo
Enumeration DateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1598631863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6001926-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1320 MENDOTA ST STE 107, Madison, WI 53714
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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 (PECOS)

Boh Kyeong Suh 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 53714 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 5

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

AMANDA CHRISTINE MOORE PARKER MSW, APSW
Social Worker (Clinical)
1320 MENDOTA ST STE 107
MADISON, WI 53714
Dane County (608) 665-2752
SASHAUNI JOHNSON APSW
Social Worker (Clinical)
1320 MENDOTA ST STE 107
MADISON, WI 53714
Dane County (608) 665-2752
JONATHAN JIACHEN ZHU DDS
Dentist (General Practice)
1320 MENDOTA ST STE 107
MADISON, WI 53714
Dane County (608) 665-2752
JAMES DONALD DUNHAM NELSON DMD
Dentist
1320 MENDOTA ST STE 107
MADISON, WI 53714
Dane County (608) 665-2752
DR. MAI JUA XIONG D.D.S.
Dentist
1320 MENDOTA ST STE 107
MADISON, WI 53714
Dane County (608) 665-2725

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 Boh Kyeong Suh's NPI number?

The NPI number for Boh Kyeong Suh is 1598631863. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Boh Kyeong Suh located?

Boh Kyeong Suh practices at 1320 Mendota St Ste 107, Madison, WI 53714. The listed phone number is (608) 665-2752.

What is Boh Kyeong Suh's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Boh Kyeong Suh enrolled in Medicare?

Yes. Boh Kyeong Suh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Boh Kyeong Suh was last updated on October 14, 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.