Individual provider Active NPI

Susan Phelps, MD

  • Diagnostic Radiology Physician
  • East Lansing, MI
National Provider Identifier
1316006612
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301051923 Issued in MI
Practice address
804 Service Rd Ste D100
East Lansing, MI 48824-7015
Phone
(517) 353-4941
Fax
(517) 432-3145
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-06-9801P OH
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 4301051923 MI Primary

Addresses

Primary practice location

804 Service Rd Ste D100
East Lansing, MI 48824-7015

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 884-3348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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
I20040416000004 OH Practitioner - Diagnostic Radiology 7315932738 Reassigns benefits to 3 organizations
I20201210000994 MI Practitioner - Diagnostic Radiology 7315932738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

4650 S Hagadorn Rd
Suite 100
East Lansing, MI 48823-5386
Phone (517) 353-4830

4660 S Hagadorn Rd
East Lansing, MI 48823-5353

4660 S Hagadorn Rd
Suite 500
East Lansing, MI 48823-6804
Phone (517) 884-4554

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc. Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Multi-Specialty Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Bamf Health Inc CurrentSince Feb 12, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
W. a. Foote Memorial Hospital, Inc Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jan 1, 2021 Accepting new patients
Msu Health Care Inc Multi-Specialty Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown, LLC Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients
Wa Foote Memorial Hospital, Inc Multi-Specialty Current Accepting new patients
Msu Health Care Inc. Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients
Crystal Clear Imaging, LLC Multi-Specialty Past Accepting new patients
Medical Radiologists Inc Multi-Specialty Past Accepting new patients
Advanced Radiology Services PC Multi-Specialty Past Accepting new patients

Locations

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Ste D100
East Lansing, MI 48824
Phone (517) 353-4941

4660 S Hagadorn Rd
Ste 510
East Lansing, MI 48823
Phone (517) 884-7450

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1316006612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-3348",
            "fax_number": "517-432-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE D100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-4941",
            "fax_number": "517-432-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-06-9801P",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301051923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.