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DR. SUSAN E MIRKINSON M.D. NPI 1558473629


NPI Information

NPI: 1558473629
Provider Name: DR. SUSAN E MIRKINSON, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1000 NORTHERN BLVD
SUITE 230
GREAT NECK, NY
ZIP 11021
Phone: (516) 627-4433
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DR. Susan E Mirkinson, M.D. is an internal medicine in Great Neck, NY with 37 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Susan E Mirkinson, M.D. NPI is 1558473629. 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:

1000 NORTHERN BLVD
SUITE 230
GREAT NECK, NY
ZIP 11021-312
Phone: (516) 627-4433
Fax: (516) 627-0552

The NPI 1558473629 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.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/3/2011.


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
1207R00000XInternal Medicine181084-1NEW YORKYes

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
10170157OTHERGHI
2181084OTHER1199
30599536OTHERCIGNA
411820POTHERNEW YORKHIP
51623355OTHERAETNA
6181084OTHERHIP
778F701MEDICARE ID-TYPE UNSPECIFIEDNEW YORKBCBS MEDICARE
825992OTHERNEW YORKAETNA USHC
978F701OTHERNEW YORKBCBS
10AP433OTHERNEW YORKOXFORD
11SM0678AK10OTHERBLUE SHIELD
1230703OTHERNEW YORKVYTRA
13E94663MEDICARE UPINNEW YORK
14389551OTHERVYTRA
156C1347OTHERHEALTHNET

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: 5/5/2024

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.