MITCHELL SUSSMAN MD NPI 1427097104

NPI Information

  • NPI: 1427097104
  • Provider Name: MITCHELL SUSSMAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 611 W. PARK ST.
    RADIOLOGY
    URBANA, IL
    ZIP 61801
  • Phone: (217) 383-3270

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NPI Details

Mitchell Sussman, MD is a diagnostic radiology radiology in Urbana, IL with 36 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mitchell Sussman, MD NPI is 1427097104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1990

The provider's business location address is:

611 W. PARK ST.
RADIOLOGY
URBANA, IL
ZIP 61801
Phone: (217) 383-3270
Fax: (217) 383-4116

The NPI 1427097104 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.

  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • X-ray of surgical specimen (HCPCS:76098)
  • Screening mammography (HCPCS:77067)
  • Injection of radioactive material for x-ray identification of lymph node (HCPCS:38792)
  • Placement of locating device in breast using ultrasound guidance, first growth (HCPCS:19285)
  • Screening 3d breast mammography (HCPCS:77063)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 5/14/2014.

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
12085R0202XRadiologyDiagnostic Radiology36088537ILLINOISNo
22085R0202XRadiologyDiagnostic Radiology036088537ILLINOISYes

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
10533210001OTHERILLINOISDMERC
2R00296MEDICARE PINILLINOIS
3036088537*3MEDICAIDILLINOIS
4IL3270396MEDICARE PINILLINOIS
5G06954MEDICARE UPIN

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: 11/21/2025

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