DR. LEYDA M SU HAM D.O.
NPI 1912169657
Family Medicine in Cudahy, WI

Q: What is Leyda Su Ham's NPI number?

The NPI number for Leyda Su Ham is 1912169657. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Leyda Su Ham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leyda Su Ham was last updated on December 15, 2023. 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.

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment

5900 S LAKE DR, CUDAHY, WI 53110(414) 489-9000 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2023, Nov 24, 2021, Sep 16, 2019 and 2 more (5 updates tracked since 2018).

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About Dr. Leyda M Su Ham D.o. NPPES

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

DR. LEYDA M SU HAM D.O. (NPI 1912169657) is an individual family medicine provider in Cudahy, Wisconsin, licensed in Michigan (5101017869) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flint, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1912169657

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LEYDA M SU HAMCredential: D.O.

Location Address5900 S LAKE DRCudahy, WI 53110-3171

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(414) 489-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 25, 2008

Last NPPES UpdateDecember 15, 20235 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1912169657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101017869

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.

5900 S LAKE DR, Cudahy, WI 53110

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Secondary Practice Location 1

Location 1G3169 Beecher RdFlint, MI 48532-3611 · Phone (810) 962-9207 · Fax (810) 213-0218

Other Identifiers 1

Medicaid100073715WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan 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 and accepts Medicare assignment

Dr. Leyda M Su Ham D.o. 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 ID1557533957

PECOS Enrollment IDI20190107000408

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

Medicare enrollment records show Leyda Su Ham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeshore Medical Clinic Ltd

1.7 mi

Family Medicine

1100 MILWAUKEE AVE
South Milwaukee, WI 53172

Reassigned Medicare billing, Wisconsin enrollment
960 clinicians in this Medicare group

NPI 1174851893 (414) 764-4003

Aurora Medical Group, Inc.

6.7 mi

Nurse Anesthetist, Certified Registered

3301 W FOREST HOME AVE
Milwaukee, WI 53215

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1427271378 (877) 576-3544

Central Michigan District Health Department

163 mi

Public Health or Welfare

2012 E PRESTON AVE
Mount Pleasant, MI 48858

Reassigned Medicare billing, Michigan enrollment
9 clinicians in this Medicare group

NPI 1245283977 (989) 773-5921

Sunshine Family Cares, Inc.

207 mi

Family Medicine

G3169 BEECHER RD STE 100
Flint, MI 48532

Reassigned Medicare billing, Michigan enrollment

NPI 1528832318 (810) 620-0250

Aspirus Ironwood Hospital & Clinics Inc.

221 mi

Ophthalmology

229 W GENESEE ST
Iron River, MI 49935

Reassigned Medicare billing, Michigan enrollment
264 clinicians in this Medicare group

NPI 1073293999 (906) 265-9931

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 7

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.

87 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

86 services48 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

48 services48 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

39 services11 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

24 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53110 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers19 claims29 services$5.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$64.96 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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