Active NPI
Howard A Sussman, MD
- Cardiovascular Disease Physician
- Framingham, MA
National Provider Identifier
1073504601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 38208
- Practice address
- 99 Lincoln St
2ND Floor
Framingham, MA 01702-6327 - Phone
- (508) 875-4811
- Fax
- (508) 875-5942
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 38208 | MA | Primary |
Addresses
Primary practice location
99 Lincoln St
2ND Floor
Framingham, MA 01702-6327
Mailing address
99 Lincoln St
2ND Floor
Framingham, MA 01702-6327
Phone (508) 875-4811
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B18219 | Other | MA | BCBSMA |
| 0154231 | Other | CIGNA | |
| 89734 | Other | AETNA/USHC | |
| 2500282 | Other | UHC | |
| 060067740 | Other | PALMETTO GBA (RR MCARE) | |
| 7774 | Other | FALLON | |
| 0018351 | Other | NHP | |
| 2071746 | Medicaid | MA | |
| 3204 | Other | HPHC | |
| 708320 | Other | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38208 | MA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1073504601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 LINCOLN ST",
"address_2": "2ND FLOOR",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026327",
"telephone_number": "508-875-4811",
"fax_number": "508-875-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 LINCOLN ST",
"address_2": "2ND FLOOR",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026327",
"telephone_number": "508-875-4811",
"fax_number": "508-875-5942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "HOWARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "38208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "B18219",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0154231",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "89734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2500282",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA (RR MCARE)",
"identifier": "060067740",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "7774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0018351",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2071746",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "3204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "708320",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.