Susan Alisanski, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME113536 Issued in FL

Practice address

5450 YMCA Rd Ste 102
Naples, FL 34109-5944

Phone

(239) 658-3000

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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.

• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211

  FL

  Medicare reassignment NPD
• South Broward Hospital District

  • Critical Care Medicine (Internal Medicine) Physician
  • Hollywood, FL
  • NPI 1609884154

  FL

  Medicare reassignment NPD
• Collier Health Services, Inc

  • Community/Retail Pharmacy
  • Naples, FL
  • NPI 1609759091
  NPD
• South Broward Hospital District

  • Home Infusion Therapy Pharmacy
  • Miramar, FL
  • NPI 1043656614
  NPD
• South Broward Hospital District

  • Pediatric Hematology & Oncology Physician
  • Hollywood, FL
  • NPI 1639187180

  Pediatric Hematology-Oncology

  NPD
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1053526962
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1083421556
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1134331416
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Naples, FL
  • NPI 1134334048

  Pediatrics

  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1194919993
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1235946716
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1376738690
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Naples, FL
  • NPI 1417774332
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Naples, FL
  • NPI 1477229755
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1508079245
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1538976006
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Naples, FL
  • NPI 1588451207
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1588879498
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1639994106
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Naples, FL
  • NPI 1679124010
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Immokalee, FL
  • NPI 1780491258
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Naples, FL
  • NPI 1790502615
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Naples, FL
  • NPI 1841087525
  NPD (past)
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Naples, FL
  • NPI 1851505200
  NPD (past)
• Collier Health Services Inc

  • General Practice Physician
  • Naples, FL
  • NPI 1891650222
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in FL

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: salisanski126183@mhsdirect.net
• Direct secure messaging: susan.alisanski.1@10865.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2024.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1386791176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3000",
            "fax_number": "239-596-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 YMCA RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341095944",
            "telephone_number": "239-658-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N 35th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215424",
            "country_code": "US",
            "telephone_number": "954-265-7728",
            "fax_number": "954-985-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1951 SW 172nd Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295613",
            "country_code": "US",
            "telephone_number": "954-265-7728",
            "fax_number": "954-985-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALISANSKI",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME113536",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "FL",
            "license": "ME113536",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME113536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006387100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Faizan Ali, MBBS
• Alicia Allen Consulting LLC
• Alina Stanciu
• Robbin Aliot
• Susanna Alis, M.S., LMHC
• All About Kids PT, Inc
• All American Chiropractic LLC
• All Behavior Community Inc
• Reynald C Allam, MD
• Charlene Allan, CASE MANAGER

• All providers in Naples, FL
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.