Individual provider Active NPI

Suzanne White, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1093951006
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.092567 Issued in OH
Practice address
6410 Broadway Ave
Cleveland, OH 44105-1253
Phone
(216) 303-7925
Fax
(216) 927-8147
NPI assigned
Dec 22, 2008
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.092567 OH Primary

Addresses

Primary practice location

6410 Broadway Ave
Cleveland, OH 44105-1253

Mailing address

PO Box 746071
Atlanta, GA 30374-6071
Phone (312) 929-0373

Other practice location 1

8300 Hough Ave
Cleveland, OH 44103-4247
Phone (216) 231-7700

Other identifiers 2

IdentifierTypeStateIssuer
P00825102OtherOHMEDICARE RAILROAD
2909857MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090207000022 OH Practitioner - Internal MedicinePractitioner - Emergency Medicine 7719042746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

6410 Broadway Ave
Cleveland, OH 44105-1253
Phone (216) 303-7925

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC Internal Medicine CurrentSince Sep 18, 2023 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. CurrentSince Sep 13, 2021 Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients
The Metrohealth System Current Accepting new patients
Northeast Ohio Neighborhood Health Services, Inc. Current Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

12100 Superior Ave
Cleveland, OH 44106
Phone (216) 231-7700

1468 E 55th St
Cleveland, OH 44103
Phone (216) 541-5600

4800 Payne Ave
Cleveland, OH 44103
Phone (216) 231-7700

6410 Broadway Ave
Cleveland, OH 44105
Phone (216) 303-7925

8300 Hough Ave
Cleveland, OH 44103
Phone (216) 231-7700

Interoperability endpoints

  • Direct secure messaging: swhite276101@direct.metrohealth.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1093951006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746071",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746071",
            "telephone_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 BROADWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051253",
            "telephone_number": "216-303-7925",
            "fax_number": "216-927-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Hough Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441034247",
            "country_code": "US",
            "telephone_number": "216-231-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.092567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00825102",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2909857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.