Leon C Su, MD, PhD
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1013761246
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1013761246
- Entity type
- Individual (NPI-1)
- Name
- Leon C Su
- Credential
- MD, PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2024
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3471 Fifth AvenueKaufman Building 4th Floor, Suite 402
Pittsburgh, PA 15213
Phone 412-648-6848
Mailing address
3600 Forbes AvenueForbes Tower-Plaza Level Suite 140
Pittsburgh, PA 15213
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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