JEANNIE JIWON SU (M.D.) – Urology Physician, NPI 1922487800
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,307 UROLOGY in CA
Provider Addresses for JEANNIE JIWON SU (M.D.)
2200 SANTA MONICA BLVD STE 131
SANTA MONICA, CA 904042312
Phone: (310) 582-7137
Fax: (310) 582-7140
Type: Mailing
2121 SANTA MONICA BLVD
SANTA MONICA, CA 904042303
Phone: (310) 582-7137
Type: Location
8631 W 3rd St Ste 1115E
Los Angeles, CA 900485901
Phone: (310) 278-8330
Fax: (310) 278-7595
Type: Location
8631 W 3RD ST STE 1115E
LOS ANGELES, CA 900485901
Phone: (310) 278-8330
Fax: (310) 278-7595
Type: Mailing
1014 BROADWAY # 109
SANTA MONICA, CA 904012808
Phone: (424) 432-2304
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 108 Open Payments records for all available years, with a total value of $4,884.
Total Amount is formed as General ($4,884) + Research ($0) + Ownership ($0) = $4,884.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: COLOPLAST CORP ($803).
Total Amount
$4,884
General + Research + Ownership
Payments
108
Total payment records
General Amount
$4,884
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $803 |
| Boston Scientific Corporation | $687 |
| Myriad Genetic Laboratories, Inc. | $517 |
| UROGEN PHARMA, INC. | $340 |
| ABBVIE INC. | $263 |
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: 2023-01-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200611001972 | I | Urology | CA | TBD |
| I20230124000565 | I | Urology | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 1,747 | 86 | $0 |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 667 | 86 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 497 | 207 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 353 | 160 | $0 |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 341 | 76 | $0 |
Insurance plans in this area (ZIP 90404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| General Surgery | CA | |
| General Surgery, Surgical Oncology | CA | |
| U R O L O G Y | CA | |
| U R O L O G Y | NY | |
| General Surgery | CA | |
| General Surgery | CA | |
| U R O L O G Y | CA |
Reviews
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