Active NPI
Susan Felsenthal, MD
- Internal Medicine Physician
- Cudahy, WI
National Provider Identifier
1437264512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 47419
- Practice address
- 5900 S Lake Dr
Cudahy, WI 53110 - Phone
- (414) 489-9000
- NPI assigned
- Aug 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 47419 | WI | Primary |
| Internal Medicine Physician | 207R00000X | 036-058049 | IL |
Addresses
Primary practice location
5900 S Lake Dr
Cudahy, WI 53110
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 647-6326
Other names 1
- Susan Goldstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-058049 | IL | MD | Internal Medicine Physician |
| 47419 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Lake | Current | Accepting new patients | |
| County of Lake | Current | Accepting new patients | |
| Aurora Health Care Metro, Inc. | Past | Accepting new patients | |
| Waukegan Clinic Corp | Internal Medicine | Past | Accepting new patients |
Locations
2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400
3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296
Interoperability endpoints
- susan.felsenthal.p1@direct.lakecountyil.nextgenshare.com
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
Organizations & group practices 4
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.
-
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1013920750
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Libertyville, IL
- NPI 1912333576
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437264512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "414-647-6326",
"fax_number": "414-671-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 S LAKE DR",
"city": "CUDAHY",
"state": "WI",
"postal_code": "53110",
"telephone_number": "414-489-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELSENTHAL",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "47419",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-058049",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "GOLDSTEIN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cudahy, WI
- Ellayna Dzenzeol, APNP, FNP-C
- Edward J Tomasik & Associate Optometrists Inc.
- Edward J Tomasik & Associate Optometrists Inc.
- Edward J Tomasik & Associate Optometrists Inc.
- Arturo Eduardo Eyzaguirre, MD
- Toni Figy, LAT
- Amanda Fischer, NP
- Robert Allen Fliss, RN
- Patrick Floyd, CRC, LPC
- Jennifer Foro, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.