THEODORE T SUH (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1922040245

THEODORE T SUH (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35079592 (OH). The NPI Number for THEODORE T SUH (MD) is 1922040245

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE T SUH (MD)
NPI
1922040245
Phone
(734) 764-6831
Address
4260 PLYMOUTH RD
Enumeration Date
12 June 2006
Last Update Date
31 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8882871082
Graduation Year
1998 (28 years ago)
PAC ID
2860476488
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20140117000667
Address ID
MI481092700AN4270XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

204 GERIATRIC MEDICINE in MI

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Provider Addresses for THEODORE T SUH (MD)

  • East Ann Arbor Health and Geriatric Center, 4260, Plymouth Road, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States

    ANN ARBOR, MI 481092700

    Phone: (734) 764-6831

    Fax: (734) 647-8535

    Type: Location

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

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: 2014-01-17

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
I20140117000667IGeriatric MedicineMITBD

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
99421Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes17575$0
99441Telephone medical discussion with physician, 5-10 minutes10167$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8686$0
G0444Annual depression screening, 5 to 15 minutes7979$0
99214Established patient office or other outpatient visit, 30-39 minutes6557$0
View full utilization report →

Insurance plans in this area (ZIP 48109)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What identifier follows THEODORE T SUH (MD) across health systems?
The NPI 1922040245 uniquely identifies THEODORE T SUH (MD) in U.S. healthcare data.
Is THEODORE T SUH (MD)'s NPI status active today?
Active status means THEODORE T SUH (MD)'s NPI record is not deactivated in the public file.
What services align with THEODORE T SUH (MD)'s listing?
THEODORE T SUH (MD)'s public classification highlights Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit THEODORE T SUH (MD) in Ann Arbor, Michigan?
For routing, start with Ann Arbor, Michigan for THEODORE T SUH (MD), then verify phone and hours locally.
Who maintains THEODORE T SUH (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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