DR. HENRY SU (MD, PHD) – Diagnostic Radiology Physician, NPI 1639141575
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for DR. HENRY SU (MD, PHD)
1723 Washington St
502
Boston, MA 021181820
Phone: (617) 927-7590
Type: Location
PO BOX 200694
PITTSBURGH, PA 152510694
Phone: (833) 324-6904
Fax: (302) 440-5783
Type: Mailing
55 FOGG RD
SOUTH WEYMOUTH, MA 021902432
Phone: (781) 340-8000
Type: Location
Washington Street, Boston, Suffolk County, Massachusetts, 02130-4803, United States
502
BOSTON, MA 021181820
Phone: (617) 927-7590
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $5,160.
Total Amount is formed as General ($5,160) + Research ($0) + Ownership ($0) = $5,160.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Medtronic, Inc. ($5,160).
Total Amount
$5,160
General + Research + Ownership
Payments
3
Total payment records
General Amount
$5,160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $5,160 |
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: 2025-03-19
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 |
|---|---|---|---|---|
| I20090618000093 | I | Diagnostic Radiology | MA | TBD |
| I20250319000253 | I | Diagnostic Radiology | NH | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 11,275 | 151 | $0 |
| 70450 | Ct scan head or brain without contrast | 619 | 594 | $0 |
| 77063 | Screening 3d breast mammography | 390 | 390 | $0 |
| 77067 | Screening mammography | 390 | 390 | $0 |
| 71045 | X-ray of chest, 1 view | 302 | 280 | $0 |
Insurance plans in this area (ZIP 02118)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MA | 71250 | CT scan chest | 62 | 62 |
| DIAGNOSTIC RADIOLOGY | MA | 73630 | X-ray of foot, minimum of 3 views | 30 | 27 |
| DIAGNOSTIC RADIOLOGY | MA | 74177 | CT scan of abdomen and pelvis with contrast | 26 | 26 |
| DIAGNOSTIC RADIOLOGY | MA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | ME | |
| Diagnostic Radiology, Interventional Radiology | PA | |
| Interventional Radiology | VA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA |
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