DR. PETER SHAO YOU SU (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1164721627

DR. PETER SHAO YOU SU (M.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 16537 (NV). The NPI Number for DR. PETER SHAO YOU SU (M.D.) is 1164721627

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER SHAO YOU SU (M.D.)
NPI
1164721627
Phone
(702) 259-5550
Address
6950 W DESERT INN RD STE 110
Enumeration Date
23 March 2011
Last Update Date
25 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
7027793994
Graduation Year
2005 (21 years ago)
PAC ID
9739477993
Professional Enrollment ID
I20161006000354
Address ID
NV891468835LA6420XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

130 PHYSICAL MEDICINE AND REHABILITATION in NV

Provider Addresses for DR. PETER SHAO YOU SU (M.D.)

  • 6950 W DESERT INN RD STE 110

    LAS VEGAS, NV 891173171

    Phone: (702) 259-5550

    Fax: (702) 259-5554

    Type: Mailing

  • 8545 W WARM SPRINGS RD STE A4

    #396

    LAS VEGAS, NV 891133677

    Phone: (702) 789-9698

    Type: Mailing

  • 9260 W SUNSET RD STE 306

    LAS VEGAS, NV 891484903

    Phone: (702) 779-3994

    Type: Location

  • 6420 Spring Mountain Rd Ste 17

    Las Vegas, NV 891468835

    Phone: (702) 779-3994

    Fax: (888) 464-0838

    Type: Location

  • 2863 Saint Rose Pkwy

    Henderson, NV 890524806

    Phone: (702) 779-3994

    Fax: (888) 464-0838

    Type: Location

  • 2995 S JONES BLVD STE A

    LAS VEGAS, NV 891465612

    Phone: (702) 805-1880

    Fax: (702) 330-0250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,376.

Total Amount is formed as General ($1,376) + Research ($0) + Ownership ($0) = $1,376.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Medtronic, Inc. ($313).

Total Amount

$1,376

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-10-06

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
I20161006000354IPhysical Medicine And RehabilitationNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes33050$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
99213Established patient office or other outpatient visit, 20-29 minutes3613$0
View full utilization report →

Insurance plans in this area (ZIP 89117)

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Reviews

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Frequently asked questions

Can I verify DR. PETER SHAO YOU SU (M.D.) with an NPI only?
You can start verification with NPI 1164721627 for DR. PETER SHAO YOU SU (M.D.), then check state licensing separately.
Can I rely on DR. PETER SHAO YOU SU (M.D.) being an active provider?
As of the registry snapshot, DR. PETER SHAO YOU SU (M.D.) is marked active.
What taxonomy line describes DR. PETER SHAO YOU SU (M.D.)?
For research purposes, treat DR. PETER SHAO YOU SU (M.D.) as Pain Medicine (Physical Medicine & Rehabilitation) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. PETER SHAO YOU SU (M.D.) based?
DR. PETER SHAO YOU SU (M.D.) is tied to Las Vegas, Nevada in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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