GAN SU (D.O.) – Emergency Medicine Physician, NPI 1992093652

GAN SU (D.O.) is a healthcare provider. based in Madison heights, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 5101019329 (MI). The NPI Number for GAN SU (D.O.) is 1992093652

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
GAN SU (D.O.)
NPI
1992093652
Phone
(248) 967-7795
Address
27351 DEQUINDRE RD
Enumeration Date
15 July 2011
Last Update Date
7 May 2026

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9566326000
Graduation Year
2011 (15 years ago)
PAC ID
5799905501
Group Practice PAC ID
8921026600
Professional Enrollment ID
I20160215002304
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for GAN SU (D.O.)

  • 27351 DEQUINDRE RD

    MADISON HEIGHTS, MI 480713487

    Phone: (248) 967-7795

    Fax: (248) 967-7794

    Mailing address matches the actual address.

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: 2016-02-15

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
I20160215002304IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making113109$0
99284Emergency department visit with moderate level of medical decision making8479$0
99291Critical care, first 30-74 minutes6464$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6161$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 48071)

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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: 8921026600View full group profile

Reviews

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Frequently asked questions

Does GAN SU (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GAN SU (D.O.) uses 1992093652.
Is GAN SU (D.O.) still practicing?
GAN SU (D.O.) is currently listed as active in the public NPI registry.
What is GAN SU (D.O.) best known for clinically?
Directory data describes GAN SU (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect GAN SU (D.O.) on a map?
Expect Madison Heights, Michigan as a primary anchor for GAN SU (D.O.) unless the record lists multiple sites.
Why does GAN SU (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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