Susan J Mahler, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H8227 Issued in TX

Practice address

109 Falls CT
Suite 100
Boerne, TX 78006-2977

Phone

(210) 495-5771

NPI assigned

Jun 3, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1144268962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 CHARTWELL CIR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780154745",
            "telephone_number": "210-495-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FALLS CT",
            "address_2": "SUITE 100",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062977",
            "telephone_number": "210-495-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLER",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H8227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma Luo, MD
• Clifford D Luttrell, DDS
• Theresa Lynn Lyons, FNP-C
• M.C.L. Davis Foundation Incorporated
• Kurt D Mackie, DDS
• Adam Len Majors, PHARM-D
• Mellyruth Maldonado, FNP-C
• Michael Gene Malinas, M.S.S.W.
• Naomi Brooke Mandel, LMFT, LPC
• Manica Isiguzo, MD PA

• Dermatology Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.