Individual provider Active NPI

Susan Deborah Stein, MD

  • Colon & Rectal Surgery Physician
  • Washington, DC
National Provider Identifier
1164533584
Registry record updated Sep 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD11008 Issued in DC
Practice address
2150 Pennsylvania Ave NW FL 9
Washington, DC 20037-3201
Phone
(202) 463-8548
Fax
(202) 463-0476
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X M30567 MD
Colon & Rectal Surgery Physician 208C00000X MD11008 DC Primary

Addresses

Primary practice location

2150 Pennsylvania Ave NW FL 9
Washington, DC 20037-3201

Mailing address

2150 Pennsylvania Ave NW FL 9
Washington, DC 20037-3201
Phone (202) 463-8548

Other practice location 1

4920 Elm St
Bethesda, MD 20814-2924
Phone (202) 741-3243

Other identifiers 2

IdentifierTypeStateIssuer
D0021982OtherMDLICENSE
MD11008OtherDCLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080620000213 DC Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1759452659 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11008DCMDColon & Rectal Surgery Physician
M30567MDMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc CurrentSince Jan 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2021 K St NW
Ste 500
Washington, DC 20006
Phone (202) 463-7611

2440 M St NW
#803
Washington, DC 20037
Phone (202) 463-8548

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2440 M St NW
Washington, DC 20037
Phone (202) 223-3098

2440 M St NW
Ste 804
Washington, DC 20037
Phone (202) 463-8548

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

2150 Pennsylvania Ave NW
Fl 9
Washington, DC 20037
Phone (202) 741-2700

2150 Pennsylvania Ave NW
Ste 6B412
Washington, DC 20037
Phone (202) 741-3225

4920 Elm St
Bethesda, MD 20814
Phone (202) 741-3243

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693699200000",
    "number": "1164533584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW FL 9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-463-8548",
            "fax_number": "202-463-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW FL 9",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-463-8548",
            "fax_number": "202-463-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4920 Elm St",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208142924",
            "country_code": "US",
            "telephone_number": "202-741-3243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "SUSAN",
        "middle_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-09-03",
        "certification_date": "2023-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MD",
            "license": "M30567",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "DC",
            "license": "MD11008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D0021982",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD11008",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.