Individual provider Active NPI

Susan Vettichira, MD

  • Physical Medicine & Rehabilitation Physician
  • Morehead City, NC
National Provider Identifier
1265403760
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2008-01112 Issued in NC
Practice address
147 Highway 24
Hestron Plaza, Suite 102
Morehead City, NC 28557-4306
Phone
(252) 726-4000
Fax
(252) 726-2530
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME85242 FL
Physical Medicine & Rehabilitation Physician 208100000X 2008-01112 NC Primary

Addresses

Primary practice location

147 Highway 24
Hestron Plaza, Suite 102
Morehead City, NC 28557-4306

Mailing address

147 Hwy 24
Hestron Plaza, Suite 102
Morehead City, NC 28557-8998
Phone (252) 726-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20081008000677 NC Practitioner - Physical Medicine and Rehabilitation 3375574403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret Medical Specialists PLLCGroup PAC ID 6204904923, 2 clinicians

Practice addresses (Care Compare)

147 Hwy 24
Hestron Plaza Suite 102
Morehead City, NC 28557
Phone (252) 726-4000

147 Hwy 24 102 Hestron Plaza
Morehead City, NC 28557

147 Hwy 24 Hestron PLZ
Suite 102
Morehead City, NC 28557-8982

147 NC Hwy 24
Suite 102
Morehead City, NC 28557-8982

Hospital & facility affiliations

  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

Merit-based Incentive Payment System (MIPS)

Final score
89.68 of 100Reported as group
Quality
87.82
Improvement activities
40
Cost
81.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret Medical Specialists PLLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2008 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
Spinecare Associates, LLC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

147 NC Highway 24
Ste 102
Morehead City, NC 28557

Interoperability endpoints

  • Direct secure messaging: susan-vettichira@vettichira-office.e-mdsdirect.com

Organizations & group practices 4

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 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1265403760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 HWY 24",
            "address_2": "HESTRON PLAZA, SUITE 102",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285578998",
            "telephone_number": "252-726-4000",
            "fax_number": "252-726-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 HIGHWAY 24",
            "address_2": "HESTRON PLAZA, SUITE 102",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574306",
            "telephone_number": "252-726-4000",
            "fax_number": "252-726-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTICHIRA",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME85242",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2008-01112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.