Individual provider Active NPI

Susan Michelle Echt, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1235441205
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15398 Issued in NV
Practice address
1607 E Windmill LN Ste 100
Las Vegas, NV 89123-1905
Phone
(702) 960-4465
Fax
(702) 960-4468
NPI assigned
Jul 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0071709 CO
Family Medicine Physician 207Q00000X 15398 NV Primary

Addresses

Primary practice location

1607 E Windmill LN Ste 100
Las Vegas, NV 89123-1905

Mailing address

762 Elstree CT
Henderson, NV 89052-4560

Other practice location 1

911 N Buffalo Dr
Las Vegas, NV 89128-0379
Phone (702) 960-4465

Other practice location 2

1 Mercado St Ste 160
Durango, CO 81301-7309
Phone (970) 385-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220826000080 MN Practitioner - General Practice 2961645585
I20240123001205 CO Practitioner - Family Practice 2961645585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total HealthcareGroup PAC ID 1052214814, 27 clinicians

Practice addresses (Care Compare)

1 Mercado St
Suite 160
Durango, CO 81301-7309
Phone (970) 385-9850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

State licenses

LicenseStateTypeSpecialty
15398NVMDPharmacist
DR.0071709COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellway Medical PA Family Medicine Current Accepting new patients
Total Healthcare Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Total Healthcare Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Total Healthcare Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Total Healthcare Family Medicine Past Accepting new patients

Locations

480 Wolverine Dr
Ste 3
Bayfield, CO 81122
Phone (970) 764-9150

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

810 E 3rd St
Unit 201
Durango, CO 81301
Phone (970) 764-1790

1 Mercado St
Ste 160
Durango, CO 81301
Phone (970) 385-9850

2905 Northwest Blvd
Ste 230
Plymouth, MN 55441
Phone (612) 367-4822

Organizations & group practices 6

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 8

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": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1235441205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 ELSTREE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E WINDMILL LN STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231905",
            "telephone_number": "702-960-4465",
            "fax_number": "702-960-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 N Buffalo Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280379",
            "country_code": "US",
            "telephone_number": "702-960-4465",
            "fax_number": "702-960-4468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Mercado St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017309",
            "country_code": "US",
            "telephone_number": "970-385-9850",
            "fax_number": "970-385-9854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHT",
        "first_name": "SUSAN",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0071709",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "15398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.