NPIMap

Individual provider Active NPI

Suzanne Christine Bodor-Billings, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
National Provider Identifier
1356491724
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A71432 Issued in CA
Practice address
3000 Colby St
Suite 200
Berkeley, CA 94705-2058
Phone
(510) 848-7977
Fax
(510) 848-2831
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A71432 CA Primary
Internal Medicine Physician 207R00000X H2254 TX

Addresses

Primary practice location

3000 Colby St
Suite 200
Berkeley, CA 94705-2058

Mailing address

3000 Colby St
Suite 200
Berkeley, CA 94705-2058
Phone (510) 848-7977

Other names 1

  • Suzanne C. Bodor Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071114000271 CA Practitioner - Internal Medicine 1052409794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Health Medical Group IncGroup PAC ID 4385808617, 10 clinicians

Practice addresses (Care Compare)

3000 Colby St
Suite 101
Berkeley, CA 94705-2090
Phone (510) 848-7977

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as apm
Quality
56.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71432CAMDInternal Medicine Physician
H2254TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Health Medical Group Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

3000 Colby St
Ste 200
Berkeley, CA 94705
Phone (510) 665-8886

3000 Colby St
Ste 101
Berkeley, CA 94705
Phone (510) 644-2282

901 Campus Dr
Ste 214
Daly City, CA 94015
Phone (415) 785-4246

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: suzanne.bodor-billings.1@24668.direct.athenahealth.com

Organizations & group practices 2

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1356491724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052058",
            "telephone_number": "510-848-7977",
            "fax_number": "510-848-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST",
            "address_2": "SUITE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052058",
            "telephone_number": "510-848-7977",
            "fax_number": "510-848-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODOR-BILLINGS",
        "first_name": "SUZANNE",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71432",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H2254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "BODOR",
            "middle_name": "C.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.