Active NPI
Lewis Suskiewicz, M.D.
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1508864273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101026006
- Practice address
- Dept. 6029
Washington, DC 20042-0001 - Phone
- (703) 642-5990
- Fax
- (703) 642-5003
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101026006 | VA | Primary |
Addresses
Primary practice location
Dept. 6029
Washington, DC 20042-0001
Mailing address
5510 Alma LN
Springfield, VA 22151-4012
Phone (703) 642-5990
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144512 | Other | ONE HEALTH PLAN/GREAT WST | |
| P10011 | Other | NCPPO | |
| 4092115 | Other | AETNA PPO | |
| 4556-0008 | Other | CAREFIRST BCBS | |
| 723588 | Other | FIRST HEALTH/AFFORDABLE | |
| 0403505 | Other | UNITED HEALTHCARE - MIDAT | |
| 257638 | Other | ALLIANCE/MAMSI | |
| 461901 | Other | AETNA HMO | |
| 5325453-026 | Other | CIGNA | |
| 0400439 | Other | UNITED HEALTHCARE - VA | |
| 224016 | Other | ANTHEM/TRIGON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1508864273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 ALMA LN",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221514012",
"telephone_number": "703-642-5990",
"fax_number": "703-642-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT. 6029",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200420001",
"telephone_number": "703-642-5990",
"fax_number": "703-642-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSKIEWICZ",
"first_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101026006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN/GREAT WST",
"identifier": "144512",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "P10011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4092115",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "4556-0008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/AFFORDABLE",
"identifier": "723588",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE - MIDAT",
"identifier": "0403505",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE/MAMSI",
"identifier": "257638",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "461901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5325453-026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE - VA",
"identifier": "0400439",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/TRIGON",
"identifier": "224016",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.