SHARON W. SU M.D. – NPI #1164646485
Pediatrics

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

SHARON SU is a physician located in PORTLAND, OR. NPPES has assigned the NPI number 1164646485 to SHARON SU on April 11, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0210X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Nephrology

The NPI profile was previously updated about 8 years ago on Aug 05, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHARON SU below.

NPI Profile for
SHARON W. SU

NPI Number
1164646485
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHARON W. SU
Credentials
M.D.
Primary location
501 N GRAHAM ST
SUITE 315
PORTLAND, OR 97227
Phone: (503) 413-3090 Fax: (503) 413-3948
Mailing address
501 N GRAHAM ST STE 355
PORTLAND, OR 97227-2005
Phone: (503) 413-3926 Fax: (503) 413-3927
Sole Proprietor
No
Updated
Identifiers

Identifiers for SHARON SU

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSERIMD12760
OTHERMEDICAL LICENSECAA91776
OTHERMEDICAL LICENSEORMD157897
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0210X
- Pediatrics / Pediatric Nephrology (Primary)
RI MD12760

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
TUFTS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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