Active NPI
Susan M Joseph, MD
- Advanced Heart Failure and Transplant Cardiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- D90617
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1590 - Phone
- (410) 328-7877
- Fax
- (410) 328-1048
- NPI assigned
- May 14, 2007
- 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 |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | D90617 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1590
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-8040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355249901 | Medicaid | TX | |
| 355249902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- University of Michigan Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8001 Roosevelt Blvd
Suite 403
Philadelphia, PA 19152-3040
Phone (215) 676-8300
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Jefferson Einstein Philadelphia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D90617 | MD | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients |
Locations
925 Chestnut St
Ste Mezzanine
Philadelphia, PA 19107
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
8001 Roosevelt Blvd
Ste 403
Philadelphia, PA 19152
Phone (215) 333-0304
Interoperability endpoints
- sjoseph257415@direct.sw.org
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1487860060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64442",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644442",
"telephone_number": "410-328-8040",
"fax_number": "443-462-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011590",
"telephone_number": "410-328-7877",
"fax_number": "410-328-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "MD",
"license": "D90617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "355249901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "355249902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.