Active NPI
Susan B Dorsey, M.D.
- Specialist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101049876
- Practice address
- 1215 3Rd St SW
Roanoke, VA 24016-4611 - Phone
- (540) 981-1439
- NPI assigned
- May 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101049876 | VA | Primary |
Addresses
Primary practice location
1215 3Rd St SW
Roanoke, VA 24016-4611
Mailing address
1215 3Rd St SW
Roanoke, VA 24016-4611
Phone (540) 981-1439
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005940583 | Medicaid | VA | |
| 242781 | Other | VA | ANTHEM VA PROVIDER NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdorsey19823@direct.carilionclinic.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Arkansas College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1204 Franklin Rd SW
Roanoke, VA 24016-4606
Phone (540) 981-1439
Hospital & facility affiliations
- Carilion Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 82 |
| Removal of skin lesions | 343 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 540 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101049876 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1204 Franklin Rd SW
Roanoke, VA 24016
Phone (540) 345-6010
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1457308371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 3RD ST SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164611",
"telephone_number": "540-981-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 3RD ST SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164611",
"telephone_number": "540-981-1439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "SUSAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101049876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005940583",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM VA PROVIDER NUMBER",
"identifier": "242781",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sdorsey19823@direct.carilionclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "sdorsey19823@direct.carilionclinic.org",
"address_1": "1215 3rd St SW",
"city": "Roanoke",
"state": "VA",
"country_code": "US",
"postal_code": "240164611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.