Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambrose K Su, DPM

Individual provider Podiatrist · NPI 1588649297

Ambrose K Su, DPM is a Podiatry in Bend, Oregon. Qualified in 1983, 43 years ago. Practices with Cascade Foot Clinic, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
43
Licensed in
OR
In the registry since
2005
Specialties on file
5
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2408 NE Division St
Bend, OR 97701-3543
Phone: (541) 388-2861
Fax: (541) 382-6297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence DP00159 (OR)
Podiatrist Taxonomy 213E00000X · Licence DPOO159 (OR)
Podiatrist Taxonomy 213E00000X · Licence DP00159 (OR)
Sports Medicine Podiatrist Taxonomy 213ES0000X · Licence DP00159 (OR)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence DP00159 (OR)

Record details

NPI number1588649297
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESJanuary 16, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Cascade Foot Clinic — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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