Active NPI
Suzanne Marie Michalak, MD
- Ophthalmology Physician
- Lebanon, NH
National Provider Identifier
1366972945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 24467
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- NPI assigned
- Jun 15, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 272677 | MA | |
| Ophthalmology Physician | 207W00000X | A173232 | CA | |
| Ophthalmology Physician | 207W00000X | 24467 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
PO Box 810
Hanover, NH 03755-0810
Phone (603) 308-1472
Other practice location 1
2452 Watson Ct
Palo Alto, CA 94303-3216
Phone (650) 723-6995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272677 | Other | MA | MASSACHUSETTS LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272677 | MA | MD | Internal Medicine Physician |
| A173232 | CA | MD | Ophthalmology Physician |
| 24467 | NH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Single Specialty | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Single Specialty | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Single Specialty | Current | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Single Specialty | Current | Accepting new patients |
| Stanford Health Care | Single Specialty | Past | Accepting new patients |
Locations
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
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.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
Single Specialty
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
Single Specialty
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Keene, NH
- NPI 1629181516
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
-
- Critical Access Hospital
- Windsor, VT
- NPI 1922095918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1366972945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "HANOVER",
"state": "NH",
"postal_code": "037550810",
"telephone_number": "603-308-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-5000"
}
],
"practiceLocations": [
{
"address_1": "2452 Watson Ct",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943033216",
"country_code": "US",
"telephone_number": "650-723-6995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHALAK",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "272677",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A173232",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NH",
"license": "24467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS LICENSE NUMBER",
"identifier": "272677",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.