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KEVIN N SU MD
NPI 1962908129
Anesthesiology in Seattle, WA

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1959 NE PACIFIC STREET, BB-1469, SEATTLE, WA 98195(206) 543-2673 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin N Su Md NPPES

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

KEVIN N SU MD (NPI 1962908129) is an individual anesthesiology provider in Seattle, Washington, licensed in Washington (MD61263725) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2018).

NPPES Registry Identity

NPI1962908129
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameKEVIN N SUCredential: MD
Location Address1959 NE PACIFIC STREET, BB-1469Seattle, WA 98195-6540
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Phone(206) 543-2673
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1962908129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WA · MD61263725
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1959 NE PACIFIC STREET, BB-1469, Seattle, WA 98195
Open in Google Maps ↗

Other Identifiers 1

Medicaid1962908129WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin N Su Md 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 ID345623401
PECOS Enrollment IDI20250925003893
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD MICHAEL ACTIS M.D.
Anesthesiology
1959 NE PACIFIC STREET, BB-1469, BOX 356540
SEATTLE, WA 98195
King County (206) 543-2470
MICHAEL LEE HALL M.D.
Anesthesiology
1959 NE PACIFIC STREET, BB-1469
SEATTLE, WA 98195
King County (206) 543-2673

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 Kevin Su's NPI number?

The NPI number for Kevin Su is 1962908129. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Kevin Su located?

Kevin Su practices at 1959 NE Pacific Street, Bb-1469, Seattle, WA 98195. The listed phone number is (206) 543-2673.

What is Kevin Su's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kevin Su enrolled in Medicare?

Yes. Kevin Su is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Su was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.