SUSAN THERESE FEDEWA DO NPI 1750336004

NPI Information

  • NPI: 1750336004
  • Provider Name: SUSAN THERESE FEDEWA, DO
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 205 N EAST AVE
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 788-4800

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NPI Details

Susan Therese Fedewa, DO is an emergency medicine in Jackson, MI with 39 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Susan Therese Fedewa, DO NPI is 1750336004. 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:

205 N EAST AVE
JACKSON, MI
ZIP 49201-753
Phone: (517) 788-4800
Fax: (517) 796-6410

The NPI 1750336004 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)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Injection, bebtelovimab, 175 mg (HCPCS:Q0222)
  • Intravenous injection, bebtelovimab, includes injection and post administration monitoring (HCPCS:M0222)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Urinalysis, manual test (HCPCS:81002)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Red blood cell concentration measurement (HCPCS:85014)
  • Blood count, hemoglobin (HCPCS:85018)
  • Blood test, basic group of blood chemicals (calcium, ionized) (HCPCS:80047)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Automated white blood cell count (HCPCS:85048)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring (HCPCS:M0243)
  • Intravenous infusion, sotrovimab, includes infusion and post administration monitoring (HCPCS:M0247)
  • Injection, casirivimab and imdevimab, 1200 mg (HCPCS:Q0244)
  • Injection, sotrovimab, 500 mg (HCPCS:Q0247)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS:J2930)
  • Infusion into a vein for hydration, each additional hour (HCPCS:96361)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Ringers lactate infusion, up to 1000 cc (HCPCS:J7120)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 11/23/2007.

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
1207P00000XEmergency Medicine5101010021MICHIGANYes

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
1E68629MEDICARE UPINMICHIGAN
2MM88560048MEDICARE PINMICHIGAN
3P00312682OTHERMICHIGANRR MEDICARE

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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