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KENNETH C.H. SU MD
NPI 1891862629
Obstetrics & Gynecology in Riverside, CA

Active since November 29, 2006PECOS Enrolled
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(909) 353-2000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth C.h. Su Md NPPES

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

KENNETH C.H. SU MD (NPI 1891862629) is an individual obstetrics & gynecology provider in Riverside, California, licensed in California (G87763) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891862629
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKENNETH C.H. SUCredential: MD
Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043
Mailing Address10800 Magnolia AveRiverside, CA 92505-3043 · (909) 353-2000
Phone(909) 353-2000
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 29, 2021
✔ NPI 1891862629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G87763
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10800 MAGNOLIA AVE, Riverside, CA 92505
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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)

Kenneth C.h. Su Md 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 92505 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

DR. LINCOLN J MAYNES MD
Urology
10800 MAGNOLIA AVE, KAISER PERMANENTE RIVERSIDE MEDICAL CENTER, MOB-2
RIVERSIDE, CA 92505
Riverside County (951) 353-3230
DR. CATHLEEN J ORTIZ PHARM.D.
Pharmacist (Pharmacotherapy)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (310) 268-3694
DEBORAH J SAWAI PHARM D.
Pharmacist
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (951) 353-3675
ANDREW JANNETT PHARM.D.
Pharmacist
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (951) 353-3675
MR. RICKY K CHUI PHARM.D
Pharmacist
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (951) 353-3673
MR. DAVID W CHENG PHARM.D.
Pharmacist
10800 MAGNOLIA AVE, INPATIENT PHARMACY
RIVERSIDE, CA 92505
Riverside County (951) 353-3673
MARIA L LONG PHARM.D.
Pharmacist
10800 MAGNOLIA AVE, MODULE 4E-HEMATOLOGY/ONCOLOGY
RIVERSIDE, CA 92505
Riverside County (951) 353-4871
MELANY YEE PHARMD
Pharmacist (Oncology)
10800 MAGNOLIA AVE, MOB #2 MODULE 4E (HEMATOLOGY/ONCOLOGY)
RIVERSIDE, CA 92505
Riverside County (951) 353-4871

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 Kenneth Su's NPI number?

The NPI number for Kenneth Su is 1891862629. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Kenneth Su located?

Kenneth Su practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (909) 353-2000.

What is Kenneth Su's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kenneth Su enrolled in Medicare?

Yes. Kenneth Su is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Su was last updated on November 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.