Individual provider Active NPI

Susan L. Luthin, M.D.

  • Family Medicine Physician
  • Dover Foxcroft, ME
National Provider Identifier
1356383962
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12819 Issued in ME
Practice address
1008 W Main St
Dover Foxcroft, ME 04426-3745
Phone
(207) 564-8710
Fax
(207) 564-8715
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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 12819 ME Primary

Addresses

Primary practice location

1008 W Main St
Dover Foxcroft, ME 04426-3745

Mailing address

118 Moosehead TRL
Ste 5
Newport, ME 04953-4055
Phone (207) 368-5189

Other identifiers 2

IdentifierTypeStateIssuer
P00165458OtherMERAILROAD MEDICARE
304890099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20051115000491 ME Practitioner - Family Practice 2961469879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastport Health Care, IncGroup PAC ID 3577592880, 12 clinicians

Practice addresses (Care Compare)

30 Boynton St
Eastport, ME 04631-1306
Phone 2078536001141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12819MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastport Health Care, Inc. CurrentSince Jun 11, 2018 Accepting new patients
Eastport Health Care, Inc. CurrentSince Jun 11, 2018 Accepting new patients
Calais Community Hospital CurrentSince Jan 11, 2026 Accepting new patients
Calais Community Hospital CurrentSince Jan 11, 2026 Accepting new patients
Eastport Memorial Hospital Past Accepting new patients

Locations

30 Boynton St
Eastport, ME 04631
Phone (207) 853-6001

160 Dublin St
Machias, ME 04654
Phone (207) 255-3400

Interoperability endpoints

  • Direct secure messaging: susan.luthin.1@8356.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4

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 4

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1356383962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MOOSEHEAD TRL",
            "address_2": "STE 5",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534055",
            "telephone_number": "207-368-5189",
            "fax_number": "207-368-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263745",
            "telephone_number": "207-564-8710",
            "fax_number": "207-564-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHIN",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "12819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00165458",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304890099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.