DR. SUSAN M FOWELL MD NPI 1821091075

NPI Information

  • NPI: 1821091075
  • Provider Name: DR. SUSAN M FOWELL, MD
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1235 N MULFORD RD
    SUITE 100
    ROCKFORD, IL
    ZIP 61107
  • Phone: (815) 226-4990

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NPI Details

DR. Susan M Fowell, MD is a retina specialist ophthalmology in Rockford, IL with 42 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Susan M Fowell, MD NPI is 1821091075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1984

The provider's business location address is:

1235 N MULFORD RD
SUITE 100
ROCKFORD, IL
ZIP 61107-879
Phone: (815) 226-4990
Fax: (815) 226-9472

The NPI 1821091075 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.

  • Imaging of retina (HCPCS:92134)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Injection of drug into eye (HCPCS:67028)
  • Injection, ranibizumab, 0.1 mg (HCPCS:J2778)
  • Injection, bevacizumab, 10 mg (HCPCS:J9035)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of optic nerve (HCPCS:92133)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Photography of the retina (HCPCS:92250)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Destruction of leaking blood vessels of retina using laser (HCPCS:67228)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 7/6/2017.

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
1207W00000XOphthalmology036073359ILLINOISNo
2207WX0107XOphthalmologyRetina Specialist036073359ILLINOISYes

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
1E18961MEDICARE UPINILLINOIS
2036073359MEDICAIDILLINOIS
3036073359OTHERILLINOISIL STATE LICENSE #
4363734974OTHERILLINOISTAX ID#

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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