Active NPI
Susan Biffl, MD
- Pediatric Rehabilitation Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- C151768
- Practice address
- 3030 Childrens Way
San Diego, CA 92123-4232 - Phone
- (858) 966-8974
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | C151768 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 46931 | CO | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | C151768 | CA | Primary |
Addresses
Primary practice location
3030 Childrens Way
San Diego, CA 92123-4232
Mailing address
3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 309-6300
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57428379 | Medicaid | CO |
Other names 1
- Susan Gallagher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Colorado School of Medicine, Denver, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2125 Citracado Pkwy
Escondido, CA 92029-4159
Phone (760) 294-9260
3010 Childrens Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3020 Children's Way
San Diego, CA 92123-4223
Phone (858) 576-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46931 | CO | MD | Physical Medicine & Rehabilitation Physician |
| C151768 | CA | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kapiolani Medical Specialists | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Kapiolani Medical Center | Past | Accepting new patients | |
| Children's Hospital Colorado | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Locations
1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300
Interoperability endpoints
- sbiffl179615@scrippshlth.medalliesdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rady Children's Specialists of San Diego, A Medical Foundation
- Pediatrics Physician
- San Diego, CA
- NPI 1669617197
-
dba Hawaii Pacific Health Medical Group
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1124071014
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- Children's Hospital
- Aurora, CO
- NPI 1336245828
-
- Children's Hospital
- Pearl City, HI
- NPI 1083810840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366589640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5003",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-309-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234232",
"telephone_number": "858-966-8974"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIFFL",
"first_name": "SUSAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "C151768",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "46931",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CA",
"license": "C151768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57428379",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "GALLAGHER",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.