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SUSAN DAVIS MD NPI 1043206568


NPI Information

NPI: 1043206568
Provider Name: SUSAN DAVIS, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
111 FOUNDERS PLZ STE 400
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 289-3375
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Susan Davis, MD is a specialist in East Hartford, CT with 39 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Susan Davis, MD NPI is 1043206568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

111 FOUNDERS PLZ STE 400
EAST HARTFORD, CT
ZIP 06108-240
Phone: (860) 289-3375

The NPI 1043206568 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • Mammography of both breasts (HCPCS:77067)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)

The enumeration date for this NPI number is 9/20/2005 and was last updated on 4/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist59103MASSACHUSETTSYes
22085N0700XRadiologyNeuroradiology59103MASSACHUSETTSNo
32085P0229XRadiologyPediatric Radiology59103MASSACHUSETTSNo
42085R0202XRadiologyDiagnostic Radiology59103MASSACHUSETTSNo
52085R0204XRadiologyVascular & Interventional Radiology59103MASSACHUSETTSNo
62085U0001XRadiologyDiagnostic Ultrasound59103MASSACHUSETTSNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13040780MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.