ANTONIUS SU (DPM) – Podiatrist, NPI 1891783775

ANTONIUS SU (DPM) is a healthcare provider. based in Chandler, Arizona. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 0496 (AZ). The NPI Number for ANTONIUS SU (DPM) is 1891783775

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
ANTONIUS SU (DPM)
NPI
1891783775
Phone
(480) 963-9000
Address
595 N DOBSON RD
Enumeration Date
13 October 2005
Last Update Date
3 February 2021

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
4809639000
Graduation Year
1993 (33 years ago)
PAC ID
1254301856
Group Practice PAC ID
9830176940
Professional Enrollment ID
I20040730000116
Address ID
AZ852244234CH595XXRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

472 PODIATRY in AZ

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Provider Addresses for ANTONIUS SU (DPM)

  • 595, North Dobson Road, Chandler, Maricopa County, Arizona, 85224, United States

    SUITE D-71

    CHANDLER, AZ 852244226

    Phone: (480) 963-9000

    Fax: (480) 963-0375

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $3,838.

Total Amount is formed as General ($3,838) + Research ($0) + Ownership ($0) = $3,838.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medline Industries LP ($2,378).

Total Amount

$3,838

General + Research + Ownership

Payments

61

Total payment records

General Amount

$3,838

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040730000116IPodiatryAZTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes831348$0
73630X-ray of foot, minimum of 3 views438223$0
11721Removal of fingernails or toenails, 6 or more nails436183$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg21044$0
99203New patient office or other outpatient visit, 30-44 minutes144144$0
View full utilization report →

Insurance plans in this area (ZIP 85224)

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Provider's Procedures

ANTONIUS SU (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYAZ11042Removal of skin and tissue first 20 sq cm or less1914
PODIATRYAZ73630X-ray of foot, minimum of 3 views383169

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: 9830176940View full group profile
NameSpecialtyState
P O D I A T R YAZ

Reviews

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Frequently asked questions

Is there an official ID for ANTONIUS SU (DPM) in U.S. healthcare records?
The official identifier for ANTONIUS SU (DPM) is NPI 1891783775.
Is there an active status for ANTONIUS SU (DPM)?
For scheduling context, ANTONIUS SU (DPM) is shown as active in the registry.
What expertise is attributed to ANTONIUS SU (DPM)?
ANTONIUS SU (DPM)'s specialty line reads Podiatrist. Clinical services aligned with this taxonomy classification.
Is ANTONIUS SU (DPM) located near Chandler?
ANTONIUS SU (DPM) currently maps to Chandler, Arizona in this extract.
When was this NPI issued?
Enumeration for ANTONIUS SU (DPM) is noted as October 13, 2005 where the registry provides it.

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