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Deactivated NPI 1528064755 Deactivated / Inactive NPI Male Practitioner

Dr. Alexander K Su , MD

Specialist • Suffolk, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Alexander Su has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005
NPI Deactivation Date June 22, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Su, MD was a registered Specialist practicing in Suffolk, VA. Throughout an active medical career spanning 16 years, Dr. Su provided care at the practice location at 150 BURNETTS WAY until profile deactivation on 2021-06-22.

Practice Location & Contact Primary Location

Practice Address

150 Burnetts Way
Suite 310

Suffolk, VA 234348177

Telephone 7575390670
Fax 7575391062
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Suffolk, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Suffolk, VA (878 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101025032

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Erik Richardson , PA

Physician Assistant

NPI 1063133320

Physician Assistant

Jessica Doggett , NP

Nurse Practitioner - Acute Care

NPI 1437567005

Nurse Practitioner

Angela Thompson , PA

Physician Assistant

NPI 1487650289

Physician Assistant

Dr. Cynthia Sile , MD

Internal Medicine - Hematology & Oncology

NPI 1568428043

Doctor of Medicine (M.D.)

Dr. Ayham Deeb , MD

Internal Medicine - Hematology & Oncology

NPI 1700175288

Doctor of Medicine (M.D.)

Dr. Victor Archie , MD

Radiology - Radiation Oncology

NPI 1710970017

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 22, 2021

Record deactivated on June 22, 2021

NPI Profile Active April 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 14, 2011

Registered at 150 BURNETTS WAY, SUITE 310, SUFFOLK, VA 234348177 (Tel: 7575390670)

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Updated Business Mailing Address April 14, 2011

Registered at 5900 LAKE WRIGHT DR, SUITE 300, NORFOLK, VA 235021871 (Tel: 7572135700)

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Provider Name / Credentials Updated April 14, 2011

Recorded as ALEXANDER SU, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2011

Specialist (License #0101025032 in VA)

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Initial NPI Registration & Enumeration June 22, 2005

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: 1528064755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: April 14, 2011
Deactivation Date: June 22, 2021

Mailing Address

5900 Lake Wright Dr, Suite 300

Norfolk, VA 235021871

Phone: 7572135700

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.