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TINA VI SU M.D.
NPI 1669869871
Internal Medicine in New York, NY

Active since April 26, 2015PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
350 E 17TH ST, NEW YORK, NY 10003(212) 420-2000 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tina Vi Su M.d. NPPES

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

TINA VI SU M.D. (NPI 1669869871) is an individual internal medicine provider in New York, New York, licensed in Oregon (MD206251) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of New York Medical College (2015).

NPPES Registry Identity

NPI1669869871
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTINA VI SUCredential: M.D.
Location Address350 E 17TH STNew York, NY 10003-3805
Mailing Address350 E 17th StNew York, NY 10003-3805 · (212) 420-2000
Phone(212) 420-2000
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2015
Enumeration DateApril 26, 2015
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1669869871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD206251
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
350 E 17TH ST, New York, NY 10003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina Vi Su M.d. 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 ID7618226077
PECOS Enrollment IDI20211209000041
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 Reassignments

2

Medicare enrollment records show Tina Su reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Health Services
2,409 mi
Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
NPI 1689612954 (206) 320-2700
Legacy Clinics LLC
2,429 mi
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1730472192 (503) 826-0206

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
143 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

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.

DR. MADELINE PERIE GITTLEMAN PSY.D.
Psychologist (Health)
350 E 17TH ST, BAIRD HALL, ROOM 12
NEW YORK, NY 10003
New York County (212) 844-1302
ALEXANDRA MARTINEZ PA-C
Physician Assistant (Medical)
350 E 17TH ST
NEW YORK, NY 10003
New York County (212) 420-2000
ADRIENNE FLECKMAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
350 E 17TH ST
NEW YORK, NY 10003
New York County (212) 420-4481
DR. FARAJ M FAOUR MD
Internal Medicine
350 E 17TH ST, BAIRD HALL 19TH FLOOR
NEW YORK, NY 10003
New York County (212) 844-1808
ADNAN ISA PA
Physician Assistant
350 E 17TH ST, 16 BAIRD HALL- DEPT OF SURGERY
NEW YORK, NY 10003
New York County (212) 420-2000
PATRICIA DHARAPAK MD
Hospitalist
350 E 17TH ST, BETH ISRAEL MEDICAL CENTER, 19 BAIRD HALL
NEW YORK, NY 10003
New York County (212) 844-1808
DR. ASENATH STEIMAN M.D.
Student in an Organized Health Care Education/Training Program
350 E 17TH ST, BAIRD HALL, 20TH FLOOR
NEW YORK, NY 10003
New York County (212) 420-3363
LAURA GLENN HERSHEY R-PA
Physician Assistant
350 E 17TH ST, 16TH FLOOR
NEW YORK, NY 10003
New York County (212) 420-2000

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 Tina Su's NPI number?

The NPI number for Tina Su is 1669869871. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Where is Tina Su located?

Tina Su practices at 350 E 17th St, New York, NY 10003. The listed phone number is (212) 420-2000.

What is Tina Su's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tina Su enrolled in Medicare?

Yes. Tina 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.

Which organizations bill Medicare for Tina Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Su reassigns Medicare benefits to 2 organizations: Swedish Health Services (Seattle, WA) and Legacy Clinics LLC (Sandy, OR). Each 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 Tina Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Su accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Tina 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.

Is Tina Su affiliated with any hospitals?

According to CMS data, Tina Su is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center and Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Tina Su was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.