Individual provider Active NPI

Susan O Holley, MD

  • Diagnostic Radiology Physician
  • Raleigh, NC
National Provider Identifier
1508986407
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2015-02003 Issued in NC
Practice address
3949 Browning PL
Raleigh, NC 27609-6536
Phone
(919) 787-7411
Fax
(919) 789-4461
NPI assigned
Apr 2, 2007
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2009005444 MO
Diagnostic Radiology Physician 2085R0202X 2015-02003 NC Primary

Addresses

Primary practice location

3949 Browning PL
Raleigh, NC 27609-6536

Mailing address

3949 Browning PL
Raleigh, NC 27609-6536
Phone (919) 787-7411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CT2 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
I20230911004136 IN Practitioner - Diagnostic Radiology 4082764022 Reassigns benefits to 1 organization
I20240710003793 CT Practitioner - Diagnostic Radiology 4082764022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

29 Hospital PLZ
Suite 400
Stamford, CT 06902-3602
Phone (203) 325-4321

388 W Ctr St
Manchester OBGYN Associates
Manchester, CT 06040-4735
Phone (860) 649-1120

394 W Ctr St
Manchester OBGYN Associates
Manchester, CT 06040-4735
Phone (860) 649-1120

4 Corporate Dr
Suite 484
Shelton, CT 06484-6241
Phone (203) 944-9898

8091 Township Line Rd
Suite 206
Indianapolis, IN 46260-2495
Phone (317) 415-1000

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009005444MOMDDiagnostic Radiology Physician
2015-02003NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Seven Hills OB-GYN Associates, LLC CurrentSince Sep 1, 2023 Accepting new patients
Physicians for Women's Health LLC CurrentSince Jun 24, 2024 Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

8091 Township Line Rd
Ste 206
Indianapolis, IN 46260
Phone (317) 415-1000

8360 S Emerson Ave
Ste 100
Indianapolis, IN 46237
Phone (317) 859-2535

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1508986407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 BROWNING PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096536",
            "telephone_number": "919-787-7411",
            "fax_number": "919-789-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 BROWNING PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096536",
            "telephone_number": "919-787-7411",
            "fax_number": "919-789-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "SUSAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2009005444",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2015-02003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.