Individual provider Active NPI

Susan Elizabeth Zane, M. D.

  • General Practice Physician
  • Austin, TX
National Provider Identifier
1407101744
Registry record updated Nov 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J6421 Issued in TX
Practice address
100 Pascal LN
Austin, TX 78746-2506
Phone
(512) 328-0990
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X DR.0068882 CO
Student in an Organized Health Care Education/Training Program 390200000X TL0008441 CO
General Practice Physician 208D00000X J6421 TX Primary

Addresses

Primary practice location

100 Pascal LN
Austin, TX 78746-2506

Mailing address

100 Pascal LN
Austin, TX 78746-2506

Other practice location 1

100 E Main St Ste 2
Aspen, CO 81611-1780
Phone (970) 452-2900

Other names 1

  • Susan Zane Epstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20221111001763 CO Practitioner - General PracticePractitioner - Preventive Medicine 3476978180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Preventive Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paula Kadison MD PCGroup PAC ID 5092058008, 2 clinicians

Practice addresses (Care Compare)

100 E Main St
Suite 2
Aspen, CO 81611-1780
Phone (970) 379-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J6421TXMDGeneral Practice Physician
TL0008441COMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFGBD/Endpoint/FDFGBD

Organizations & group practices 1

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1407101744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASCAL LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787462506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASCAL LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787462506",
            "telephone_number": "512-328-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Aspen",
            "state": "CO",
            "postal_code": "816111780",
            "country_code": "US",
            "telephone_number": "970-452-2900",
            "fax_number": "970-452-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZANE",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CO",
            "license": "DR.0068882",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL0008441",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J6421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "EPSTEIN",
            "middle_name": "ZANE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.