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

Brian Su, MD

Individual provider Nephrology Physician · NPI 1205307154

Brian Su, MD is a Nephrology in Fort Wayne, Indiana. Qualified in 2008, 18 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and New York.

Years since qualifying
18
Licensed in
IN, NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 672-6620
Fax: (260) 672-6639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01099129A (IN)
Nephrology Physician Taxonomy 207RN0300X · Licence 317628 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 317628 (NY)

Record details

NPI number1205307154
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 17, 2018
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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