Individual provider Active NPI

Susan A Tuddenham, M.D.

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1104143122
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0080348 Issued in MD
Practice address
5200 Eastern Ave BLDG Center
Division of Infectious Diseases, Suite 381
Baltimore, MD 21224-2734
Phone
(410) 550-7330
Fax
(410) 550-1169
NPI assigned
Apr 29, 2010
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Infectious Disease Physician 207RI0200X D0080348 MD Primary

Addresses

Primary practice location

5200 Eastern Ave BLDG Center
Division of Infectious Diseases, Suite 381
Baltimore, MD 21224-2734

Mailing address

5200 Eastern Ave BLDG Center
Division of Infectious Diseases, Suite 381
Baltimore, MD 21224-2734
Phone (410) 550-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160901002115 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 7012166903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-4714

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080348MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Infectious Disease CurrentSince Sep 1, 2016 Accepting new patients
Johns Hopkins University CurrentSince Sep 1, 2016 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

5200 Eastern Ave
Bldg Ctr
Baltimore, MD 21224
Phone (410) 550-0526

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

Interoperability endpoints

  • Direct secure messaging: studdenham36817@direct.hopkinsmedicine.org

Organizations & group practices 3

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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1104143122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE BLDG CENTER",
            "address_2": "DIVISION OF INFECTIOUS DISEASES, SUITE 381",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242734",
            "telephone_number": "410-550-7330",
            "fax_number": "410-550-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE BLDG CENTER",
            "address_2": "DIVISION OF INFECTIOUS DISEASES, SUITE 381",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242734",
            "telephone_number": "410-550-7330",
            "fax_number": "410-550-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDDENHAM",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0080348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.