JOHNNY SUH (M.D.) – Vascular & Interventional Radiology Physician, NPI 1053757369

JOHNNY SUH (M.D.) is a healthcare provider. based in Loma linda, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A134608 (CA). The NPI Number for JOHNNY SUH (M.D.) is 1053757369

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNY SUH (M.D.)
NPI
1053757369
Phone
(909) 835-0747
Address
24992A BARTON RD
Enumeration Date
14 May 2013
Last Update Date
15 December 2023

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9517883400
Graduation Year
2013 (13 years ago)
PAC ID
5193059079
Group Practice PAC ID
2365412327
Professional Enrollment ID
I20190626002457
Address ID
CA92501XXXXRIXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for JOHNNY SUH (M.D.)

  • 24992A BARTON RD

    LOMA LINDA, CA 923542816

    Phone: (909) 835-0747

    Type: Mailing

  • PO BOX 52499

    RIVERSIDE, CA 925173499

    Phone: (951) 781-2270

    Type: Mailing

  • 4445 MAGNOLIA AVE

    RIVERSIDE, CA 925014135

    Phone: (951) 788-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Medtronic, Inc. ($76).

Total Amount

$165

General + Research + Ownership

Payments

5

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2019-06-26

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
I20190626002457IDiagnostic RadiologyCATBD

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
71045X-ray of chest, 1 view836671$0
70450Ct scan head or brain without contrast203196$0
74177Ct scan of abdomen and pelvis with contrast102101$0
71046X-ray of chest, 2 views7575$0
74018X-ray of abdomen, 1 view6557$0
View full utilization report →

Insurance plans in this area (ZIP 92354)

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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: 2365412327View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Nuclear Medicine, Diagnostic RadiologyIL
Diagnostic Radiology, Interventional RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHNNY SUH (M.D.)?
JOHNNY SUH (M.D.) — NPI 1053757369 — is the standard way to identify this listing.
Does CMS list JOHNNY SUH (M.D.) as active?
Yes — JOHNNY SUH (M.D.) is active in the NPI listing used on this page.
What is JOHNNY SUH (M.D.)'s specialty?
The listing groups JOHNNY SUH (M.D.) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOHNNY SUH (M.D.)?
JOHNNY SUH (M.D.)'s geographic hint is Loma Linda, California in our summary view.
Is the information about JOHNNY SUH (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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