Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639864788 Individual Practitioner Female Practitioner

Lilly Su

Pediatrics • Somerville, MA

Professional Overview & Biography Verified Profile Summary

Lilly Su is a registered healthcare professional specializing in Pediatrics in Somerville, MA. Practice services are available at 40 HOLLAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

40 Holland St

Somerville, MA 021442705

Telephone 6176296000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Somerville, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Somerville, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 1026735

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Developmental - Behavioral Pediatrics

NUCC Taxonomy Code: 2080P0006X

State License MA 1026735

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Secondary Practice Locations

2 Brookline Pl

Brookline, MA 024457230

Phone: 6173557025

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Henry Stoll , PA

Physician Assistant - Medical

NPI 1013984582

Physician Assistant

Dr. Khalid Shash , MD

Internal Medicine - Cardiovascular Disease

NPI 1043251374

Doctor of Medicine (M.D.)

Maria Hedberg , FNP

Nurse Practitioner - Family

NPI 1043644883

Family Nurse Practitioner

Cynthia Tefft , NP

Nurse Practitioner

NPI 1114070208

Nurse Practitioner

Dr. Jane Clancy , MD

Radiology - Diagnostic Radiology

NPI 1124088844

Doctor of Medicine (M.D.)

NPI 1144272659

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 08, 2026

Registered at 40 HOLLAND ST, SOMERVILLE, MA 021442705 (Tel: 6176296000)

📍
Updated Business Mailing Address July 08, 2026

Registered at 75 GARDNER ST APT 25, ALLSTON, MA 021342203 (Tel: 4435938423)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Pediatrics (License #1026735 in MA)

NPI Profile Active April 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2023

Registered at 725 WELCH RD, PALO ALTO, CA 943041601 (Tel: 6504978979)

📍
Updated Business Mailing Address April 05, 2023

Registered at 36 UNIVERSITY MNR E, HERSHEY, PA 170332805 (Tel: 4435938423)

👤
Provider Name / Credentials Updated April 05, 2023

Recorded as LILLY SU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639864788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2023
Last Update: July 08, 2026
Sole Proprietor: Yes

Mailing Address

75 Gardner St Apt 25

Allston, MA 021342203

Phone: 4435938423

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.