ISAAC E SU (MD) – Family Medicine Physician, NPI 1023634342

ISAAC E SU (MD) is a healthcare provider. based in Albany, Georgia. specializing in GENERAL PRACTICE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 11686 (GA). The NPI Number for ISAAC E SU (MD) is 1023634342

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ISAAC E SU (MD)
NPI
1023634342
Phone
(229) 312-5802
Address
500 W 3RD AVE STE 101
Enumeration Date
23 June 2020
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8565822816
Graduation Year
2018 (8 years ago)
PAC ID
0446614663
Group Practice PAC ID
5294648457
Professional Enrollment ID
I20230914000543
Address ID
NJ080122453TU435XXRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:5State licenses:3Digital endpointsOther names

164 GENERAL PRACTICE in GA

Provider Addresses for ISAAC E SU (MD)

  • 500 W 3RD AVE STE 101

    ALBANY, GA 317011900

    Phone: (229) 312-5802

    Type: Mailing

  • 2336 DAWSON RD STE 2200

    ALBANY, GA 317072801

    Phone: (229) 312-8797

    Type: Location

  • 2336 Dawson Rd Ste 2200

    Albany, GA 317072801

    Phone: (229) 312-8797

    Type: Location

  • 3300 Henry Ave Unit 4

    Philadelphia, PA 191291141

    Phone: (215) 475-3400

    Fax: (888) 512-0552

    Type: Location

  • 3500 N BROAD ST RM 1A

    PHILADELPHIA, PA 191404106

    Phone: (215) 926-9019

    Type: Mailing

  • 7600 CENTRAL AVE

    PHILADELPHIA, PA 191112442

    Phone: (215) 728-2275

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-06-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230914000543IGeneral PracticeNJTBD
I20240603000417IFamily PracticePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31701)

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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: 5294648457View full group profile
NameSpecialtyState
-PA
Nurse PractitionerNJ
Emergency MedicineNJ
Emergency MedicinePA
Family PracticeNJ
Emergency MedicinePA
Emergency MedicineNJ
Emergency MedicineNJ
Emergency MedicineNJ
Emergency MedicinePA

Reviews

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Frequently asked questions

Does ISAAC E SU (MD) have a public NPI I can cite?
Public records show ISAAC E SU (MD) under NPI 1023634342.
Is ISAAC E SU (MD) currently accepting referrals based on NPI status?
Registry metadata lists ISAAC E SU (MD) as active.
What does the directory say ISAAC E SU (MD) does?
Insurance directories may phrase it differently, but here ISAAC E SU (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ISAAC E SU (MD) tied to Albany, Georgia?
If you are local to Albany, Georgia, ISAAC E SU (MD) may be relevant to your search.
Why is information missing for ISAAC E SU (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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