Individual provider Active NPI

Susan Caldwell, MD

  • Family Medicine Physician
  • Dewitt, MI
National Provider Identifier
1295830792
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301067975 Issued in MI
Practice address
13191 Schavey Rd
Suite 3
Dewitt, MI 48820-9036
Phone
(517) 669-9109
Fax
(517) 669-9839
NPI assigned
Sep 13, 2006
Last updated
Dec 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301067975 MI Primary

Addresses

Primary practice location

13191 Schavey Rd
Suite 3
Dewitt, MI 48820-9036

Mailing address

PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071129000577 MI Practitioner - Family Practice 7911096813 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians

Practice addresses (Care Compare)

1600 W Grand River Ave
Okemos, MI 48864-2394

7335 Westshire Dr
Lansing, MI 48917-9703
Phone (517) 622-2788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301067975MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Family Medicine Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 2023 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Jul 25, 2019 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Dec 18, 2010 Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine Current Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine Current Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Dec 18, 2010 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

13191 Schavey Rd
Ste 3
Dewitt, MI 48820
Phone (517) 669-9109

2900 Hannah Blvd
Ste 104
East Lansing, MI 48823
Phone (517) 364-8000

2040 Aurelius Rd
Holt, MI 48842
Phone (517) 694-2217

2040 Aurelius Rd
Ste 22
Holt, MI 48842
Phone (517) 244-8932

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2909 E Grand River Ave
Ste 202
Lansing, MI 48912
Phone (517) 364-8686

2909 E Grand River Ave
Ste 302
Lansing, MI 48912
Phone (517) 337-8680

7335 Westshire Dr
Ste 100
Lansing, MI 48917
Phone (517) 622-2788

230 Temple St
Mason, MI 48854
Phone (517) 676-4545

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1600 W Grand River Ave
Ste 4
Okemos, MI 48864
Phone (517) 381-6880

2446 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 253-5530

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

901 S Oakland St
Ste 201
Saint Johns, MI 48879
Phone (989) 224-2338

301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125

Interoperability endpoints

  • Direct secure messaging: scaldwell1646@sparrowdirecthie.org

Organizations & group practices 10

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 2

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1295830792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "517-364-6253",
            "fax_number": "517-964-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13191 SCHAVEY RD",
            "address_2": "SUITE 3",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209036",
            "telephone_number": "517-669-9109",
            "fax_number": "517-669-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301067975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

Verify at the official NPI Registry.