NPIMap

Individual provider Active NPI

Eric Sussman, MD

  • Neurological Surgery Physician
  • Hartford, CT
National Provider Identifier
1437569522
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
67441 Issued in CT
Practice address
100 Retreat Ave Ste 705
Hartford, CT 06106-2553
Phone
(973) 454-5264
NPI assigned
Apr 29, 2014
Last updated
May 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 67441 CT Primary

Addresses

Primary practice location

100 Retreat Ave Ste 705
Hartford, CT 06106-2553

Mailing address

100 Retreat Ave Ste 705
Hartford, CT 06106-2553
Phone (973) 454-5264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210729001116 CT Practitioner - Neurosurgery 0547663486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Icahn School of Medicine at Mount Sinai, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

100 Retreat Ave
Suite 705
Hartford, CT 06106-2553
Phone (860) 278-0070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
70.34
Promoting interoperability
100
Improvement activities
40
Cost
75.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion24
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67441CTMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Neurological Surgery CurrentSince Sep 1, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 1, 2021 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Nov 1, 2023 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Nov 1, 2023 Accepting new patients

Locations

100 Retreat Ave
Ste 705
Hartford, CT 06106
Phone (860) 278-0070

85 Seymour St
Ste 1003
Hartford, CT 06106
Phone (860) 246-4260

85 Seymour St
Ste 1019
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Ste 1022
Hartford, CT 06106
Phone (860) 524-1175

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

Interoperability endpoints

  • Direct secure messaging: eric.sussman@xdr.hhchealthdirect.org
  • Direct secure messaging: esussman64326@connecticutchildrens.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1437569522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE STE 705",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062553",
            "telephone_number": "973-454-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RETREAT AVE STE 705",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062553",
            "telephone_number": "973-454-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "67441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.