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

Dr. Owen T Su, MD

Individual provider Specialist · NPI 1689622110

Dr. Owen T Su, MD is a Colorectal Surgery (Proctology) in Great Neck, New York. Graduated from University of Pittsburgh School of Medicine in 1993, 33 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Trained at
University of Pittsburgh School of Medicine
Licensed in
NY
In the registry since
2006
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

60 Cuttermill Rd 507
Great Neck, NY 11021-3104
Phone: (516) 487-8738
Fax: (516) 487-1601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 213802 (NY)

Record details

NPI number1689622110
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESMarch 19, 2015
Mailing address15 Cobblers Ln, Dix Hills, NY 11746-5001

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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