Individual provider Active NPI

Susan Elizabeth Hardy, MD,PHD

  • Geriatric Medicine (Internal Medicine) Physician
  • Hingham, MA
National Provider Identifier
1124091905
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
253843 Issued in MA
Practice address
300 Linden Ponds Way
Hingham, MA 02043-3791
Phone
(781) 534-7100
Fax
(781) 534-7358
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD426199 PA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 253843 MA Primary

Addresses

Primary practice location

300 Linden Ponds Way
Hingham, MA 02043-3791

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (781) 534-7100

Other practice location 1

1369 Grafton St
Worcester, MA 01604-2737
Phone (508) 373-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20191112000281 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0648259069

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Pittsburgh School of Medicine, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1369 Grafton St
Worcester, MA 01604-2737

555 Cajon St
Suite a
Redlands, CA 92373-5980

8085 Rivers Ave
Suite 100
North Charleston, SC 29406-9239

89 Shirley St
Quincy, MA 02169-1404

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Regalcare at Quincy Nursing home, Quincy, MA, CCN 225522
  • Linden Ponds Nursing home, Hingham, MA, CCN 225773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
RC Quincy LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shardy833074@direct.ochin.org

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.

Hospital & facility affiliations 3

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1124091905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "781-534-7100",
            "fax_number": "781-534-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LINDEN PONDS WAY",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020433791",
            "telephone_number": "781-534-7100",
            "fax_number": "781-534-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1369 Grafton St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016042737",
            "country_code": "US",
            "telephone_number": "508-373-7400",
            "fax_number": "508-373-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD,PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD426199",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "253843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

Verify at the official NPI Registry.