Brian Su, MD in Fort Wayne, IN - Medicare Nephrology

Brian Su, MD is a medicare enrolled "Internal Medicine" physician in Fort Wayne, Indiana. He graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice New York University, Parkview Health System Inc and his current practice location is 11109 Parkview Plaza Dr, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 672-6620.

Brian Su is licensed to practice in Indiana (license number 01099129A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205307154.

Contact Information

	Brian Su, MD
	11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701
	(260) 672-6620
	(260) 672-6639

Map and Direction

Physician's Profile

Full Name	Brian Su
Gender	Male
Speciality	Nephrology
Experience	18 Years
Location	11109 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brian Su graduated from medical school in 2008

NPI Data:

NPI Number: 1205307154
Provider Enumeration Date: 12/17/2018
Last Update Date: 03/09/2026

Medicare PECOS Information:

PECOS PAC ID: 4688036031
Enrollment ID: I20240920001663

Medical Identifiers

Medical identifiers for Brian Su such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205307154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	317628 (New York)	Secondary
207R00000X	Internal Medicine	317628 (New York)	Secondary
207R00000X	Internal Medicine	01099129A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Brookhaven Memorial Hosp	Patchogue, NY	Dialysis facility
Long Island Community Hospital	Patchogue, NY	Hospital
Parkview Regional Medical Center	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New York University	1355232422	5805
Parkview Health System Inc	2163336967	1331

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brian Su allows following entities to bill medicare on his behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian Su is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brian Su, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Brian Su, MD 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 Ph: (260) 672-6620

Reviews and Comments

Internal Medicine Doctors in Fort Wayne, IN

Dr. Dustin M Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910
Ahmad Alhariri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020
Dr. Anuradha G Bommakanti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001
Eileen Jill Ramos Muzzillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605
John T Ducker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188
Mr. Kenneth A Smith, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255
Dr. Carl M Williams, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740

Brian Su, MD - Medicare Nephrology in Fort Wayne, IN