DR. DANIEL L SU MD
NPI 1811031156
Family Medicine in Kotzebue, AK

Active since February 19, 2007PECOS EnrolledAccepts Medicare Assignment
436 TED STEVENS WAY, MANIILAQ HEALTH CENTER, KOTZEBUE, AK 99752(907) 442-7148(907) 442-7306 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel L Su Md NPPES

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

DR. DANIEL L SU MD (NPI 1811031156) is an individual family medicine provider in Kotzebue, Alaska, licensed in Washington (MD00038293) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1995).

NPPES Registry Identity

NPI1811031156
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL L SUCredential: MD
Location Address436 TED STEVENS WAY, MANIILAQ HEALTH CENTERKotzebue, AK 99752
Mailing Address250 H St # 909Blaine, WA 98230-4018 · (360) 223-9354
Fax(907) 442-7306
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1995
Enumeration DateFebruary 19, 2007
Last NPPES UpdateDecember 8, 2009
NPI 1811031156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00038293
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
436 TED STEVENS WAY, Kotzebue, AK 99752

Other Identifiers 2

Medicaid8254518WA
Medicare UPINH20543WA

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. Daniel L 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 ID244360832
PECOS Enrollment IDI20180702002775
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99752 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Other Providers at the Same Location NPPES 4

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

Advanced Practice Midwife
436 TED STEVENS WAY
KOTZEBUE, AK 99752
Registered Nurse
436 TED STEVENS WAY
KOTZEBUE, AK 99752
Licensed Practical Nurse
436 TED STEVENS WAY
KOTZEBUE, AK 99752
Licensed Practical Nurse
436 TED STEVENS WAY, BOX 43
KOTZEBUE, AK 99752

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 Daniel Su's NPI number?

The NPI number for Daniel Su is 1811031156. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Daniel Su located?

Daniel Su practices at 436 Ted Stevens Way Maniilaq Health Center, Kotzebue, AK 99752. The listed phone number is (907) 442-7148.

What is Daniel Su's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Su enrolled in Medicare?

Yes. Daniel 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 Daniel Su was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.