Active NPI
Susan G Flores, MD
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1225005457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35044831F
- Practice address
- 1730 W 25TH St
Main Floor
Cleveland, OH 44113 - Phone
- (216) 363-2353
- Fax
- (216) 696-7375
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35044831F | OH | Primary |
Addresses
Primary practice location
1730 W 25TH St
Main Floor
Cleveland, OH 44113
Mailing address
20525 Center Ridge Rd
Ste 220
Rocky River, OH 44116
Phone (440) 895-5056
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10792405 | Other | CAQH | |
| 3610861 | Other | GROUP ASC MEDICARE | |
| 000000184291 | Other | ANTHEM | |
| 0119204 | Other | GROUP MEDICAID | |
| 0637236 | Other | AETNA | |
| 0799711 | Medicaid | OH | |
| 110213695 | Other | RR MEDICARE INDIVIDUAL | |
| 9273172 | Other | GROUP MEDICARE | |
| F44831 | Other | SUMMACARE APEX | |
| 102422 | Other | KAISER | |
| 1780634279 | Other | GROUP NPI | |
| D368301 | Other | GROUP IND DIAGNOSTICS MED | |
| 341783789066 | Other | CARESOURCE | |
| CA4511 | Other | RR GROUP MEDICARE | |
| CA4511 | Other | RR MEDICARE GROUP |
Other names 1
- Mrs. Susan Gumabao-Flores
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35044831F | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Premier Physicians Centers, Inc | Past | Accepting new patients |
Interoperability endpoints
- susan.flores@ppc2.eclinicaldirectplus.com
- sflores1280705@direct.ccf.org
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.
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Clinical Medical Laboratory
- Westlake, OH
- NPI 1396928883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1225005457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20525 CENTER RIDGE RD",
"address_2": "STE 220",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "44116",
"telephone_number": "440-895-5056",
"fax_number": "440-333-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W 25TH ST",
"address_2": "MAIN FLOOR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44113",
"telephone_number": "216-363-2353",
"fax_number": "216-696-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "SUSAN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35044831F",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10792405",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ASC MEDICARE",
"identifier": "3610861",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000184291",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "0119204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0637236",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0799711",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "110213695",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "9273172",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE APEX",
"identifier": "F44831",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "102422",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1780634279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP IND DIAGNOSTICS MED",
"identifier": "D368301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341783789066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR GROUP MEDICARE",
"identifier": "CA4511",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CA4511",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "GUMABAO-FLORES",
"prefix": "MRS.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.