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SUSAN CARMODY NPI 1841390481


NPI Information

NPI: 1841390481
Provider Name: SUSAN CARMODY
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: OSF MULTI-SPECIALTY GROUP

PECOS Registration: Yes

Address:
1505 EASTLAND DR
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 663-2100
Get Directions

Susan Carmody is a family medicine in Bloomington, IL with 31 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Susan Carmody NPI is 1841390481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1505 EASTLAND DR
BLOOMINGTON, IL
ZIP 61701-534
Phone: (309) 663-2100
Fax: (309) 663-8322

The NPI 1841390481 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.

  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 9/24/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1833120MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP #
2G40709MEDICARE UPIN
3CA2264MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR GROUP #
4K04512MEDICARE ID-TYPE UNSPECIFIEDILLINOISINDIVIDUAL #
5P00112581MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR INDIVIDUAL #

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: 11/14/2023

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.