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

Mingda David Su, MD

Individual provider Surgery Physician · NPI 1609436955

Mingda David Su, MD is a General Surgery in Urbana, Illinois. Qualified in 2018, 8 years ago. Practices with Community Health Partners, a 505-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2019
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

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 1609436955 (IL)

Record details

NPI number1609436955
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020
Mailing address611 W Park St, Urbana, IL 61801-2529

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Health Partners — 505 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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