Susan Gayle Hibbs, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35.138748 Issued in OH

Practice address

4805 Montgomery Rd
Ste 410
Cincinnati, OH 45212

Phone

(513) 241-2370

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shibbs@rhi.gwaydirect.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Neuroscience Group of Northeast Wisconsin SC

  dba Neuroscience Group

  • Neurological Surgery Physician
  • Neenah, WI
  • NPI 1578516803

  Neurology

  Medicare reassignment NPD
• Riverhills Healthcare Inc

  dba Riverhills Neuroscience

  • Neurology Physician
  • Cincinnati, OH
  • NPI 1205943651
  NPD
• Riverhills Healthcare, Inc.

  • Neurological Surgery Physician
  • Cincinnati, OH
  • NPI 1740386440

  Neurology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1053353268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122280",
            "telephone_number": "513-961-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD",
            "address_2": "STE 410",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45212",
            "telephone_number": "513-241-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "SUSAN",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "46587",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.138748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34552200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "002071450",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Hiatt
• Michelle Lynn Hiatt, LMT
• Olivia N Hiatt
• Aaron Hibbard, LPC
• Taylor M Hibbard
• Julie Dianne Hibner, MA CCC-SLP
• Jeffrey Hice, REGISTERED NURSE
• Elizabeth J Hick, MD
• Maureen Colette Hickert, MD
• Cheryl Hickey, NP

• Neurology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.