Individual provider Active NPI

Susan J. Batlan, M.D.

  • Ophthalmology Physician
  • South Hadley, MA
National Provider Identifier
1063475804
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
219578 Issued in MA
Practice address
470 Granby Rd
Suite 103
South Hadley, MA 01075-3218
Phone
(413) 535-1700
Fax
(413) 535-1715
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 219578 MA Primary

Addresses

Primary practice location

470 Granby Rd
Suite 103
South Hadley, MA 01075-3218

Mailing address

470 Granby Rd
Suite 103
South Hadley, MA 01075-3218
Phone (413) 535-1700

Other identifiers 1

IdentifierTypeStateIssuer
2025361MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20040130000735 MA Practitioner - Ophthalmology 5698678126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

470 Granby Rd
Suite 103
South Hadley, MA 01075-3218
Phone (413) 535-1700

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
219578MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampden Eye Physicians and Surgeons, P.C. Ophthalmology CurrentSince Apr 1, 2007 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Mwa, PC Past Accepting new patients
Auburn Eye Care Center Past Accepting new patients

Locations

470 Granby Rd
Ste 103
South Hadley, MA 01075
Phone (413) 535-1700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1063475804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 GRANBY RD",
            "address_2": "SUITE 103",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753218",
            "telephone_number": "413-535-1700",
            "fax_number": "413-535-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 GRANBY RD",
            "address_2": "SUITE 103",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753218",
            "telephone_number": "413-535-1700",
            "fax_number": "413-535-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATLAN",
        "first_name": "SUSAN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "219578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025361",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

Verify at the official NPI Registry.