Individual provider Active NPI

Suzanne Petrina Dupler, D.O.

  • Anesthesiology Physician
  • Ann Arbor, MI
National Provider Identifier
1316205875
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A15537 Issued in CA
Practice address
1540 E Hospital Dr
SPC 4245
Ann Arbor, MI 48109-4000
Phone
(734) 763-2435
Fax
(734) 763-6651
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 20A15537 CA Primary

Addresses

Primary practice location

1540 E Hospital Dr
SPC 4245
Ann Arbor, MI 48109-4000

Mailing address

1540 E Hospital Dr
SPC 4245
Ann Arbor, MI 48109-4000
Phone (734) 763-2435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170731002050 CA Practitioner - Anesthesiology 3971884412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

350 Marine Pkwy
Suite 100
Redwood City, CA 94065-5224
Phone (510) 406-9731

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15537CAMDChiropractor
20A15537CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Washington Township Hospital District Past Accepting new patients
Upmc Washington Past Accepting new patients

Locations

3425 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 371-1118

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

2299 Mowry Ave
Fremont, CA 94538
Phone (510) 791-5374

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2500 Hospital Dr
Bldg 9
Mountain View, CA 94040
Phone (650) 254-1200

3435 Valle Verde Dr
Ste C
Napa, CA 94558
Phone (707) 226-2031

350 Marine Pkwy
Ste 100
Redwood City, CA 94065
Phone (510) 406-9731

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

Organizations & group practices 5

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1316205875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E HOSPITAL DR",
            "address_2": "SPC 4245",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094000",
            "telephone_number": "734-763-2435",
            "fax_number": "734-763-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E HOSPITAL DR",
            "address_2": "SPC 4245",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094000",
            "telephone_number": "734-763-2435",
            "fax_number": "734-763-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLER",
        "first_name": "SUZANNE",
        "middle_name": "PETRINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A15537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.