DR. SUSANA ADELA EBNER M.D. NPI 1053330332

NPI Information

  • NPI: 1053330332
  • Provider Name: DR. SUSANA ADELA EBNER, M.D.
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 732 HARRISON AVE, FL 2
    PRESTON BLDG, ENDOCRINOLOGY
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 638-7470

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NPI Details

DR. Susana Adela Ebner, M.D. is an endocrinology and diabetes and metabolism internal medicine in Boston, MA with 46 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Susana Adela Ebner, M.D. NPI is 1053330332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

732 HARRISON AVE, FL 2
PRESTON BLDG, ENDOCRINOLOGY
BOSTON, MA
ZIP 02118-309
Phone: (617) 638-7470
Fax: (617) 638-7449

The NPI 1053330332 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 9/4/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist226722-1NEW YORKNo
2207R00000XInternal Medicine226722NEW YORKNo
3207R00000XInternal Medicine71429MASSACHUSETTSNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism226722NEW YORKNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism71429MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101634371MEDICAIDNEW YORK

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: 3/30/2025

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