Dr Teddy Su, MD in Travis Afb, CA - Medicare Diagnostic Radiology

Dr Teddy Su, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Travis Afb, California. He went to Boston University School Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Alameda Health System and his current practice location is 101 Bodin Cir, 60th Medical Group, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-7181.

Dr Teddy Su is licensed to practice in California (license number 105730) 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 1003881830.

Contact Information

	Dr Teddy Su, MD
	101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535-1809
	(707) 423-7181
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Teddy Su
Gender	Male
Speciality	Diagnostic Radiology
Experience	24 Years
Location	101 Bodin Cir, Travis Afb, California
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:

Dr Teddy Su attended and graduated from Boston University School Of Medicine in 2001

NPI Data:

NPI Number: 1003881830
Provider Enumeration Date: 02/23/2006
Last Update Date: 08/18/2025

Medicare PECOS Information:

PECOS PAC ID: 5991802860
Enrollment ID: I20130802000765

Medical Identifiers

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

Identifier	Type	State	Issuer
1003881830	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	105730 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Highland Hospital	Oakland, CA	Hospital
Alameda Hospital	Alameda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alameda Health System	3779494521	531

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. Dr Teddy Su allows following entities to bill medicare on his behalf.

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558463927 PECOS PAC ID: 3577476761 Enrollment ID: O20040107000584

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Dr Teddy 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
Dr Teddy Su, MD 40087 Mission Blvd # 250, Fremont, CA 94539-3680 Ph: () -	Dr Teddy Su, MD 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535-1809 Ph: (707) 423-7181

Reviews and Comments

Radiology Doctors in Travis Afb, CA

Tirzah Wende Prince Wait, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7208
James Odone, Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182
Winnifred Wong, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119
Dr. Ely A Wolin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-426-7597

Dr Teddy Su, MD - Medicare Diagnostic Radiology in Travis Afb, CA