Shidong Su, M.D.
NPI 1558457200 · Neurology Physician · Flushing, NY
Enrolled with Medicare as Order and Referring Only - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shidong Su, M.D. is a Neurology Physician provider in Flushing, NY (NPI 1558457200).
Provider details
- NPI number
- 1558457200
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 215043 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is Shidong Su's NPI number?
- Shidong Su's National Provider Identifier (NPI) is 1558457200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shidong Su's specialty?
- Shidong Su is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Shidong Su located?
- Shidong Su's practice location on file with NPPES is 136 21 Roosevelt Avenue, Flushing, NY 11354.
- What is Shidong Su's phone number?
- The practice phone number listed in the NPPES registry for Shidong Su is (718) 888-1803.
- Does Shidong Su accept Medicare?
- Shidong Su is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shidong Su's NPI active?
- Yes — Shidong Su's NPI (1558457200) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.