DR. DANIEL L SU (MD) – Family Medicine Physician, NPI 1811031156

DR. DANIEL L SU (MD) is a healthcare provider. based in Kotzebue, Alaska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00038293 (WA). The NPI Number for DR. DANIEL L SU (MD) is 1811031156

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL L SU (MD)
NPI
1811031156
Phone
(907) 442-7148
Address
436 TED STEVENS WAY
Enumeration Date
19 February 2007
Last Update Date
8 December 2009

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
36038404642285
Graduation Year
1995 (31 years ago)
PAC ID
0244360832
Group Practice PAC ID
5395738231
Professional Enrollment ID
I20180702002775
Address ID
WA982269278BE2592XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

495 FAMILY PRACTICE in AK

Provider Addresses for DR. DANIEL L SU (MD)

  • 436 TED STEVENS WAY

    MANIILAQ HEALTH CENTER

    KOTZEBUE, AK 99752

    Phone: (907) 442-7148

    Fax: (907) 442-7306

    Type: Location

  • 250 H ST # 909

    BLAINE, WA 982304018

    Phone: (360) 223-9354

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2023-05-02 • Largest payer in this snapshot: Genentech USA, Inc. ($57).

Total Amount

$57

General + Research + Ownership

Payments

2

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Genentech USA, Inc.$57
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100608000542IFamily PracticeTXTBD
I20180702002775IFamily PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes4833$0
36415Insertion of needle into vein for collection of blood sample4134$0
99214Established patient office or other outpatient visit, 30-39 minutes2419$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1211$0
View full utilization report →

Insurance plans in this area (ZIP 99752)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395738231View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Family PracticePA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMA
-WA
Family PracticePA
Mental Health CounselorWA
Physician AssistantWA
Registered Dietitian Or Nutrition ProfessionalWA
Clinical Social WorkerWA

Reviews

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Frequently asked questions

Does DR. DANIEL L SU (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DANIEL L SU (MD) uses 1811031156.
Is DR. DANIEL L SU (MD) still practicing?
DR. DANIEL L SU (MD) is currently listed as active in the public NPI registry.
What is DR. DANIEL L SU (MD) best known for clinically?
Directory data describes DR. DANIEL L SU (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DANIEL L SU (MD) based?
DR. DANIEL L SU (MD) is tied to Kotzebue, Alaska in the data we show; additional addresses may exist on the full record.
Is the information about DR. DANIEL L SU (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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