Active NPI
Susan D Freedman, MD
- Internal Medicine Physician
- Chestnut Hill, MA
National Provider Identifier
1528072972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 52273
- Practice address
- 25 Boylston St
Suite 211
Chestnut Hill, MA 02467-1715 - Phone
- (617) 731-0227
- Fax
- (617) 734-9274
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 52273 | MA | Primary |
Addresses
Primary practice location
25 Boylston St
Suite 211
Chestnut Hill, MA 02467-1715
Mailing address
25 Boylston St
Suite 211
Chestnut Hill, MA 02467-1715
Phone (617) 731-0227
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 478750 | Other | MA | TUFTS HEALTH PLAN |
| 2108852 | Medicaid | MA | |
| J13205 | Other | MA | BCBS MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Past | Accepting new patients | |
| Upmc Community Medcine Inc | Past | Accepting new patients |
Interoperability endpoints
- susan.freedman@dc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1528072972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BOYLSTON ST",
"address_2": "SUITE 211",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024671715",
"telephone_number": "617-731-0227",
"fax_number": "617-734-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BOYLSTON ST",
"address_2": "SUITE 211",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024671715",
"telephone_number": "617-731-0227",
"fax_number": "617-734-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "SUSAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "52273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "478750",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108852",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J13205",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.