Susan Rudd Bailey, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

G0037 Issued in TX

Practice address

4200 S Hulen St Ste 230
Fort Worth, TX 76109-4924

Phone

(817) 315-2550

Fax

(817) 732-4660

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.bailey@5011032375300.direct.elationemr.com

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.

• Susan R. Bailey, M.D.P.a.

  • Medical Specialty Clinic/Center
  • Fort Worth, TX
  • NPI 1184886640
  NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1396722583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094924",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094924",
            "telephone_number": "817-315-2550",
            "fax_number": "817-732-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SUSAN",
        "middle_name": "RUDD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "G0037",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "G0037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Bailey, SLP
• Michael Lynn Bailey, DO
• Shane Bailey, PA
• Shannon Bailey
• Sharlene Elizabeth Bailey, MD
• T Ross Bailey, ATC., LAT
• Ashley Baillio, ACNP
• Bainbridge Dialysis LLC (Central Fort Worth Dialysis)
• Victoria Mree Bainbridge, PA-C
• Ralph Fredrick Baine, MD

• Allergy Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Allergy Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.