Individual provider Active NPI

Benjamin Matthew Sussman, D.O.

  • Family Medicine Physician
  • Levittown, PA
National Provider Identifier
1477638088
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013748 Issued in PA
Practice address
4533 New Falls Rd
Levittown, PA 19056-3004
Phone
(267) 540-8220
Fax
(609) 537-7072
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS013748 PA Primary

Addresses

Primary practice location

4533 New Falls Rd
Levittown, PA 19056-3004

Mailing address

4533 New Falls Rd
Levittown, PA 19056-3004
Phone (267) 540-8220

Other practice location 1

850 Bear Tavern Rd Ste 309
Ewing, NJ 08628-1018
Phone (609) 656-8844

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address benjamin.sussman.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061129000486 PA Practitioner - Internal Medicine 3971501933 Reassigns benefits to 1 organization
I20200526000086 NJ Practitioner - Family Practice 3971501933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

3 Penns TRL
Newtown, PA 18940-1812
Phone (215) 504-1761

850 Bear Tavern Rd
Suite 309
Ewing, NJ 08628-1018
Phone (609) 656-8844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Heartcare Associates of Bucks County PC Past Accepting new patients
Women's Specialists of Bucks County, P.C. PastSince May 16, 2021 Accepting new patients

Locations

850 Bear Tavern Rd
Ste 309
Ewing, NJ 08628
Phone (609) 392-8100

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

4533 New Falls Rd
Levittown, PA 19056
Phone (267) 540-8220

3 Penns Trl
Newtown, PA 18940
Phone (215) 504-1761

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: benjamin.sussman.1@12833.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2126/brand/1/csg/1/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.

Hospital & facility affiliations 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1477638088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 NEW FALLS RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563004",
            "telephone_number": "267-540-8220",
            "fax_number": "609-537-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 NEW FALLS RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563004",
            "telephone_number": "267-540-8220",
            "fax_number": "609-537-7072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Bear Tavern Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086281018",
            "country_code": "US",
            "telephone_number": "609-656-8844",
            "fax_number": "609-537-7072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "BENJAMIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjamin.sussman.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4533 New Falls Rd",
            "city": "Levittown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190563004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.