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

Derek Kaihao Shieh Su, MD

Individual provider Psychiatry Physician · NPI 1679066765

Derek Kaihao Shieh Su, MD is a Psychiatry in Columbia, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2018
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

1 Hospital Dr # 67.00
Columbia, MO 65212-1000
Phone: (573) 882-8907
Fax: (573) 884-1070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5325 Faraon St, Saint Joseph, MO 64506-3488 — (816) 271-7273

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2018019993 (MO)

Record details

NPI number1679066765
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESOctober 27, 2023
Certification dateAugust 10, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia