Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAN SU
NPI 1942836804
Radiology - Diagnostic Radiology in Dallas, TX

Q: What is Shan Su's NPI number?

The NPI number for Shan Su is 1942836804. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Q: What is Shan Su's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Shan Su was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 22, 2020PECOS Enrolled

6201 HARRY HINES BLVD, DALLAS, TX 75390(469) 852-9686 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Jun 5, 2025, Mar 22, 2020 (3 updates tracked since 2020).

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About Shan Su NPPES

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

SHAN SU (NPI 1942836804) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (U8828) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942836804

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameSHAN SU

Location Address6201 HARRY HINES BLVDDallas, TX 75390-8896

Mailing AddressPo Box 845347Dallas, TX 75284-5347

Phone(469) 852-9686

Sole ProprietorNo

Enumeration DateMarch 22, 2020

Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1942836804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · U8828

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

6201 HARRY HINES BLVD, Dallas, TX 75390

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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)

Shan Su 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 75390 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

ALVIN A CHANDRA M.D.

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