GLORIA SUE – Plastic Surgery Physician, NPI 1093135758

GLORIA SUE is a healthcare provider. based in Stanford, California. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold a License No. A137626 (CA). The NPI Number for GLORIA SUE is 1093135758

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
GLORIA SUE
NPI
1093135758
Phone
Not provided
Address
300 PASTEUR DR
Enumeration Date
21 April 2014
Last Update Date
2 December 2022

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4152064632
Graduation Year
2014 (12 years ago)
PAC ID
7416356233
Group Practice PAC ID
5496668410
Professional Enrollment ID
I20210527002819
Address ID
CA941103518SA1001XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA

Provider Addresses for GLORIA SUE

  • 300 PASTEUR DR

    DEPARTMENT OF SURGERY, MAIL CODE 5641

    STANFORD, CA 943052200

    Phone:

    Type: Mailing

  • PO BOX 743749

    LOS ANGELES, CA 900743749

    Phone:

    Type: Mailing

  • 1001 POTRERO AVENUE

    BUILDING 5, #3M

    SAN FRANCISCO, CA 941103518

    Phone: (628) 206-8814

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: AXOGEN ($31).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

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: 2021-05-27

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
I20210527002819IPlastic And Reconstructive SurgeryCATBD

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
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 94305)

Loading plans...

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: 5496668410View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
Anesthesiology, Critical Care (Intensivists)CA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YNY
Certified Registered Nurse Anesthetist (Crna)NJ
Infectious Disease, Internal MedicineCA
Internal MedicineTX
Internal MedicineTX
Internal MedicineCA
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does GLORIA SUE have a public NPI I can cite?
Public records show GLORIA SUE under NPI 1093135758.
Is GLORIA SUE's NPI status active today?
Active status means GLORIA SUE's NPI record is not deactivated in the public file.
What services align with GLORIA SUE's listing?
GLORIA SUE's public classification highlights Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GLORIA SUE?
GLORIA SUE is associated with Stanford, California in the same public data insurers reference.
Who maintains GLORIA SUE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

55 SHEARER DR
NPI: 1427183672

ROHIT KUMAR KHOSLA (MD)

Plastic Surgery Physician
725 WELCH RD
NPI: 1093925786

DR. JENNIFER L WEINTRAUB (MD)

Plastic Surgery Physician
Stanford Hospital, 300, Pasteur Drive, Stanford, Palo Alto, Santa Clara County, California, 94305, United States
NPI: 1013103324

DR. ANGELINE F LIM (M.D.)

Plastic Surgery Physician
Stanford Hospital, 300, Pasteur Drive, Stanford, Palo Alto, Santa Clara County, California, 94305, United States
NPI: 1295922730

DR. LAUREN FISCHER (MD)

Plastic Surgery Physician
260 W RIVER DR
NPI: 1033434667

GRACE JANE GRAW (MD)

Student in an Organized Health Care Education/Training Program
386 RIVERWAY
NPI: 1558650051

JIWON SARAH CROWLEY (MD)

Student in an Organized Health Care Education/Training Program
350 DICKINSON ST STE 421
NPI: 1770846933

PAUL MITTERMILLER (MD)

Student in an Organized Health Care Education/Training Program
770 WELCH ROAD, SUITE 411B
NPI: 1790123131