Individual provider Active NPI

Susan M Yeager, DPM

  • Foot & Ankle Surgery Podiatrist
  • Redding, CA
National Provider Identifier
1073530671
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5322 Issued in CA
Practice address
429 Redcliff Dr Ste 100
Redding, CA 96002-0167
Phone
(731) 286-2139
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3136 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 820 TN
Foot Surgery Podiatrist 213ES0131X 80215 MS
Foot & Ankle Surgery Podiatrist 213ES0103X E5322 CA Primary

Addresses

Primary practice location

429 Redcliff Dr Ste 100
Redding, CA 96002-0167

Mailing address

1901 Cook St
Dyersburg, TN 38024-1882
Phone (731) 885-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020001844 CA Practitioner - Podiatry 6204019938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

429 Redcliff Dr
Suite 100
Redding, CA 96002-0167
Phone (530) 244-0674

Hospital & facility affiliations

  • Interim Healthcare Home health agency, Redding, CA, CCN 557630
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Trinity Hospital Hospital, Weaverville, CA, CCN 051315

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue627
Removal of skin lesions1573
Removal of nail tissue566
Removal or shaving of skin growth170
Skin biopsy341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5322CAMDNeuropathology Physician
E5322CAMDFoot & Ankle Surgery Podiatrist
PO3136FLMDFoot & Ankle Surgery Podiatrist
80215MSMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tae J Song DPM Inc Foot & Ankle Surgery CurrentSince Aug 4, 2017 Accepting new patients
Yeager Foot & Ankle Center Inc Foot & Ankle Surgery CurrentSince Aug 4, 2017 Accepting new patients

Locations

429 Redcliff Dr
Ste 100
Redding, CA 96002
Phone (530) 244-0674

Interoperability endpoints

  • Direct secure messaging: syeager@khpi-fl.direct.office.nextgen.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073530671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 COOK ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241882",
            "telephone_number": "731-885-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 REDCLIFF DR STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020167",
            "telephone_number": "731-286-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3136",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "820",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MS",
            "license": "80215",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.