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FANG-YU SU DMD
NPI 1619562543
Dentist - Prosthodontics in Philadelphia, PA

Active since March 03, 2021PECOS Enrolled
3223 N BROAD ST, PHILADELPHIA, PA 19140(215) 531-3603 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 30, 2021, Mar 3, 2021 (2 updates tracked since 2021).

About Fang-yu Su Dmd NPPES

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

FANG-YU SU DMD (NPI 1619562543) is an individual prosthodontics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RFD000042) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619562543
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameFANG-YU SUCredential: DMD
Location Address3223 N BROAD STPhiladelphia, PA 19140-5007
Mailing Address3223 N Broad StPhiladelphia, PA 19140-5007 · (215) 926-2350
Phone(215) 531-3603
Sole ProprietorNo
Enumeration DateMarch 3, 2021
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1619562543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in PA · RFD000042✔ Licensed in IL · 019.032873✔ Licensed in IN · 12013481A
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
3223 N BROAD ST, Philadelphia, PA 19140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fang-yu Su Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Fang-yu Su reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Temple University Of The Commonwealth System Of Higher Education
Same address
Oral and Maxillofacial Surgery
3223 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group
NPI 1912687187 (215) 707-2900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

JOHN PAUL FRIEL JR. DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-0115
LEONA SPERRAZZA DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2995
DR. MARK WILLIAM ELICE DMD
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2890
MARIA VERA RODRIGUEZ DDS.MSC.PHD
Dentist (Periodontics)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (734) 277-0477
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Anesthesiology
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2900
JIN XIA JIANG DMD
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2931
DR. ARMIN MEHDIZADEH-SHRIFI DDS
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (210) 552-2199
MIGUEL HERNANDEZ
Student in an Organized Health Care Education/Training Program
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2900

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 Fang-yu Su's NPI number?

The NPI number for Fang-yu Su is 1619562543. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Fang-yu Su located?

Fang-yu Su practices at 3223 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 531-3603.

What is Fang-yu Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Fang-yu Su enrolled in Medicare?

Yes. Fang-yu Su is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fang-yu Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fang-yu Su reassigns Medicare benefits to Temple University Of The Commonwealth System Of Higher Education (Philadelphia, PA). 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 Fang-yu Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fang-yu Su accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Fang-yu Su as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fang-yu Su was last updated on March 30, 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.