JEANNIE JIWON SU M.D.
NPI 1922487800
Urology in Santa Monica, CA
About Jeannie Jiwon Su M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNIE JIWON SU M.D. (NPI 1922487800) is an individual urology provider in Santa Monica, California, licensed in California (A168007) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeannie Jiwon Su M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Jeannie Su reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
Santa Monica, CA 90404
- Reassigned Medicare billing, California enrollment
- 461 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California and Texas enrollments
- 13 clinicians in this Medicare group
Los Angeles, CA 90017
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Valencia, CA 91355
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
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 74
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
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 Jeannie Su's NPI number?
The NPI number for Jeannie Su is 1922487800. It was assigned to this individual provider in the NPPES registry on May 25, 2015.
Where is Jeannie Su located?
Jeannie Su practices at 2121 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (310) 582-7137.
What is Jeannie Su's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Jeannie Su enrolled in Medicare?
Yes. Jeannie Su is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeannie Su's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeannie Su reassigns Medicare benefits to 5 organizations: Jsu Medical, PC (Santa Monica, CA), Providence Saint Johns Medical Foundation (Santa Monica, CA), Comprehensive Urology Medical Group (Los Angeles, CA), Signature Medical Clinics Inc (Los Angeles, CA) and Henry Mayo Newhall Memorial Hospital (Valencia, CA). 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 Jeannie Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeannie Su accept?
Health plans from Cigna Healthcare list Jeannie 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 Jeannie Su was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.