FANNIE WYNDY SU MD
NPI 1982738712
Allergy & Immunology in Walnut Creek, CA

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
69.91/100
CMS Quality Rating
130 LA CASA VIA, BLDG 2 SUITE 209, WALNUT CREEK, CA 94598(925) 935-6252 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fannie Wyndy Su Md NPPES

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

FANNIE WYNDY SU MD (NPI 1982738712) is an individual allergy & immunology provider in Walnut Creek, California, licensed in California (A85919) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1982738712
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameFANNIE WYNDY SUCredential: MD
Location Address130 LA CASA VIA, BLDG 2 SUITE 209Walnut Creek, CA 94598-3045
Mailing Address370 N Wiget Ln, Ste 210Walnut Creek, CA 94598-2452 · (925) 935-6252 · Fax (925) 935-7611
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 15, 2007
Last NPPES UpdateMarch 7, 2023
NPI 1982738712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in CA · A85919
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
130 LA CASA VIA, Walnut Creek, CA 94598

Other Identifiers 1

OtherA85919CA · State Medical License

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

Fannie Wyndy 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 ID3375721491
PECOS Enrollment IDI20110620000566
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.

Areas of Expertise CMS Part B claims 13

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,709 services48 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
282 services16 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.
253 services136 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
196 services18 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
195 services16 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
176 services100 patients

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.

69.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.15
Promoting Interoperability98
Improvement Activities40
Cost21.23

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers13 claims52 services$18.27 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier16 claims16 services$27.40 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers13 claims6,240 services$11.72 avg. paid by Medicare
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims780 services$35.63 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
6 suppliers15 claims780 services$0.10 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers12 claims120 services$2.36 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.

Allergy & Immunology
130 LA CASA VIA, BLDG 2, STE 209
WALNUT CREEK, CA 94598
Nurse Practitioner
130 LA CASA VIA, SUITE 209
WALNUT CREEK, CA 94598
Allergy & Immunology
130 LA CASA VIA, BLDG 2 STE 209
WALNUT CREEK, CA 94598
Psychiatry & Neurology (Psychiatry)
130 LA CASA VIA, #213
WALNUT CREEK, CA 94598
Surgery
130 LA CASA VIA, BUILDING 3, SUITE 211
WALNUT CREEK, CA 94598
Internal Medicine (Pulmonary Disease)
130 LA CASA VIA, #208
WALNUT CREEK, CA 94598
Surgery
130 LA CASA VIA, BUILDING 3, SUITE 211
WALNUT CREEK, CA 94598
Allergy & Immunology
130 LA CASA VIA, BLDG 2, #209
WALNUT CREEK, CA 94598

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 Fannie Su's NPI number?

The NPI number for Fannie Su is 1982738712. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Fannie Su located?

Fannie Su practices at 130 La Casa Via Bldg 2 Suite 209, Walnut Creek, CA 94598. The listed phone number is (925) 935-6252.

What is Fannie Su's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Fannie Su enrolled in Medicare?

Yes. Fannie 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 Fannie Su was last updated on March 7, 2023. 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.