SUSAN CHO (NP) – Family Nurse Practitioner, NPI 1104379692
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for SUSAN CHO (NP)
3852 VINTON AVE APT 303
CULVER CITY, CA 902323199
Phone: (714) 308-7736
Type: Mailing
70 W. 105th Street
Apt 4 (5th Floor)
New York, NY 10025
Phone: (714) 308-7736
Type: Location
Ocean Park Boulevard, Ocean Park, Santa Monica, Los Angeles County, California, 90405, United States
SANTA MONICA, CA 904054901
Phone: (310) 450-4773
Type: Location
3861 SEPULVEDA BLVD
CULVER CITY, CA 902304605
Phone: (310) 450-2191
Fax: (310) 450-0873
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $29 |
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: 2019-12-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191204001423 | I | Nurse Practitioner | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90232)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| Family Practice | NY | |
| Family Practice | CA | |
| Nurse Practitioner | CA |
Reviews
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