1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Radiology
  6. NPI Profile

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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shan Su reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
0.2 mi
Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1043418205 (214) 645-0624
The General Hospital Corporation
1,552 mi
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000
Massachusetts General Physicians Organization Inc
1,552 mi
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
Internal Medicine (Cardiovascular Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MR. JONATHAN DEVRIES D.O.
Psychiatry & Neurology (Psychiatry)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0580
ABDULLAH SHOAIB M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3916
DR. SITARAM BARATH MD
Radiology (Vascular & Interventional Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-1717
BRITNEY WEBSTER APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0599
DR. HELEN LYNNE KING M.D.
Internal Medicine (Infectious Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MURTAZA AHMED MD
Hospitalist
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-3597
LULU LIU TENORIO MD
Radiology (Diagnostic Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (469) 207-3563

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 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.

Where is Shan Su located?

Shan Su practices at 6201 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (469) 852-9686.

What is Shan Su's specialty?

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

Is Shan Su enrolled in Medicare?

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

Which organizations bill Medicare for Shan Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shan Su reassigns Medicare benefits to 3 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). 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 Shan Su's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.