Individual provider Active NPI

Matthew Susko, M.D.

  • Radiation Oncology Physician
  • Oakland, CA
National Provider Identifier
1215399811
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
150726 Issued in CA
Practice address
275 W Macarthur Blvd
Kaiser Permanente Oakland Medical Center
Oakland, CA 94611-5641
Phone
(415) 308-5813
NPI assigned
Mar 23, 2016
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 150726 CA Primary

Addresses

Primary practice location

275 W Macarthur Blvd
Kaiser Permanente Oakland Medical Center
Oakland, CA 94611-5641

Mailing address

275 W Macarthur Blvd
Kaiser Permanente Oakland Medical Center
Oakland, CA 94611-5641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210602003389 CA Practitioner - Radiation Oncology 5092061804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Duke University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000

1701 Divisadero St
San Francisco, CA 94115-3011
Phone (415) 476-1000

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Merit-based Incentive Payment System (MIPS)

Final score
78.69 of 100Reported as individual
Quality
97.98
Improvement activities
0
Cost
82.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150726CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Single Specialty CurrentSince Jul 25, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 25, 2024 Accepting new patients
Community Hospital of the Monterey Peninsula Single Specialty CurrentSince May 1, 2021 Accepting new patients
UCSF Medical Group Business Services Single Specialty CurrentSince Jul 25, 2024 Accepting new patients
University of California San Francisco CurrentSince Jul 25, 2024 Accepting new patients
University of California San Francisco Single Specialty Current Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince May 1, 2021 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

1600 Divisadero St
#H1031
San Francisco, CA 94143
Phone (415) 353-7175

1600 Divisadero St
Ste H1031
San Francisco, CA 94143
Phone (415) 353-7175

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

505 Parnassus Ave
Ste L8
San Francisco, CA 94143
Phone (415) 353-8900

Interoperability endpoints

  • Direct secure messaging: msusko141897@ehr.johnmuirhealth.com
  • Direct secure messaging: msusko73154@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1215399811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W MACARTHUR BLVD",
            "address_2": "KAISER PERMANENTE OAKLAND MEDICAL CENTER",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W MACARTHUR BLVD",
            "address_2": "KAISER PERMANENTE OAKLAND MEDICAL CENTER",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115641",
            "telephone_number": "415-308-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSKO",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "150726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.