Active NPI
Susan Elizabeth Little Jones, MD
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- SL073954
- Practice address
- 21540 W 11 Mile Rd Ste 200
Southfield, MI 48076-3843 - Phone
- (248) 352-2000
- Fax
- (248) 352-8800
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | SL073954 | MI | |
| Internal Medicine Physician | 207R00000X | SL073954 | MI | Primary |
Addresses
Primary practice location
21540 W 11 Mile Rd Ste 200
Southfield, MI 48076-3843
Mailing address
21540 W 11 Mile Rd Ste 200
Southfield, MI 48076-3843
Phone (248) 352-2000
Other practice location 1
75 Barclay Cir
Suite 120
Rochester Hills, MI 48307-5820
Phone (248) 844-0315
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL073954 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Pediatrics | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
Locations
2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386
21540 W 11 Mile Rd
Ste 200
Southfield, MI 48076
Phone (248) 352-2000
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
500 Kirts Blvd
Troy, MI 48084
Phone (214) 824-6000
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
Interoperability endpoints
- susan.little-jones.1@33201.direct.athenahealth.com
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1366530941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21540 W 11 MILE RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763843",
"telephone_number": "248-352-2000",
"fax_number": "248-352-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21540 W 11 MILE RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763843",
"telephone_number": "248-352-2000",
"fax_number": "248-352-8800"
}
],
"practiceLocations": [
{
"address_1": "75 Barclay Cir",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Rochester Hills",
"state": "MI",
"postal_code": "483075820",
"country_code": "US",
"telephone_number": "248-844-0315",
"fax_number": "248-844-0320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLE JONES",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "SL073954",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "SL073954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.