MELODY SU
NPI 1891444113
Family Medicine in Memphis, TN

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
1301 PRIMACY PKWY, MEMPHIS, TN 38119(901) 866-8812 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Melody Su NPPES

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

MELODY SU (NPI 1891444113) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (74109) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2022).

NPPES Registry Identity

NPI1891444113
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMELODY SU
Location Address1301 PRIMACY PKWYMemphis, TN 38119-0213
Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
NPI 1891444113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 74109
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.
1301 PRIMACY PKWY, Memphis, TN 38119

Other Identifiers 1

OtherW259481522Aetna

Accepted Insurance

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

Melody Su 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 ID6406232255
PECOS Enrollment IDI20250718002426
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 38119 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

Family Medicine
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Student in an Organized Health Care Education/Training Program
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Nurse Practitioner (Family)
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Family Medicine
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Pharmacist
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Family Medicine
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Pharmacist (Ambulatory Care)
1301 PRIMACY PKWY
MEMPHIS, TN 38119
Family Medicine (Hospice and Palliative Medicine)
1301 PRIMACY PKWY
MEMPHIS, TN 38119

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 Melody Su's NPI number?

The NPI number for Melody Su is 1891444113. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Melody Su located?

Melody Su practices at 1301 Primacy Pkwy, Memphis, TN 38119. The listed phone number is (901) 866-8812.

What is Melody Su's specialty?

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

Is Melody Su enrolled in Medicare?

Yes. Melody 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.

What insurance does Melody Su accept?

Health plans from BlueCross BlueShield of Tennessee, Molina Healthcare and UnitedHealthcare list Melody 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 Melody Su was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.