Susan Golda Osullivan, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101054411 Issued in VA

Practice address

4900 Cox Road
Suite 100
Glen Allen, VA 23060

Phone

(804) 346-1747

Fax

(804) 346-1704

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, DC, NY3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Physician Assoc IncGroup PAC ID 1355243809, 164 clinicians

Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Zwanger and Pesiri Radiology Group LLPGroup PAC ID 5092700799, 93 clinicians

Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians

Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Northern Virginia Radiology Consultants, PLLCGroup PAC ID 8426117458, 27 clinicians

Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
• Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 42)

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Carilion Medical Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1730123472

  GA

  Medicare reassignment Care Compare group NPD
• Northern Virginia Radiology Consultants, PLLC

  • Diagnostic Radiology Physician
  • Arlington, VA
  • NPI 1942463625

  DC

  Medicare reassignment Care Compare group NPD
• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807

  GA

  Medicare reassignment Care Compare group NPD
• Maryland Imaging Network PC

  • Diagnostic Radiology Physician
  • Prince Frederick, MD
  • NPI 1487296471

  GA

  Medicare reassignment Care Compare group NPD
• Optum Medical Care, P.C.

  dba CareMount Medical, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Progressive Physician Assoc Inc

  • Diagnostic Radiology Physician
  • Bethlehem, PA
  • NPI 1881646859

  GA

  Medicare reassignment Care Compare group NPD
• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413

  GA

  Medicare reassignment Care Compare group NPD
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304

  GA

  Medicare reassignment NPD
• Carilion Rockbridge Community Hospital

  • Multi-Specialty Clinic/Center
  • Lexington, VA
  • NPI 1174636021

  GA

  Medicare reassignment NPD
• Carilion Tazewell Community Hospital

  • General Acute Care Hospital
  • Tazewell, VA
  • NPI 1427040328

  GA

  Medicare reassignment NPD
• Allegiance Imaging and Radiology, LLC

  • Diagnostic Radiology Physician
  • Suwanee, GA
  • NPI 1902346422
  Medicare reassignment NPD

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

• Carilion Franklin Memorial Hospital

  • General Acute Care Hospital
  • Rocky Mount, VA
  • NPI 1710970918
  Care Compare affiliation
• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Camden Campus

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1073593539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 COX ROAD",
            "address_2": "SUITE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "804-346-1747",
            "fax_number": "804-346-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 COX ROAD",
            "address_2": "SUITE 100",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "804-346-1747",
            "fax_number": "804-346-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSULLIVAN",
        "first_name": "SUSAN",
        "middle_name": "GOLDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101054411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C06703",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optima Health Plan (Sentara Community Care Center)
• Robin Orton
• Olabisi Oyetokunbo Oshikanlu, MD
• Adeyinka R Ososanya, APRN
• Barney Ray Osterbind, BS
• Our Renewed Purpose LLC
• Ashley Devota Owen, LPC
• Daniel Lewis Owen, LPC
• Janae Simone Owens
• Patricia D Owens, LPC, CSAC

• Diagnostic Radiology Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.