Individual provider Active NPI

Susan H Psaila, M.D.

  • Procedural Dermatology Physician
  • Rochester, NY
National Provider Identifier
1548262371
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
1995441 Issued in NY
Practice address
30 N Union St
Suite 105
Rochester, NY 14607-1345
Phone
(585) 232-8940
Fax
(585) 232-8687
NPI assigned
Aug 11, 2005
Last updated
Nov 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 1995441 NY Primary

Addresses

Primary practice location

30 N Union St
Suite 105
Rochester, NY 14607-1345

Mailing address

30 N Union St
Suite 105
Rochester, NY 14607-1345
Phone (585) 232-8940

Other names 1

  • Susan Haller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041020000231 NY Practitioner - Dermatology 5890756365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Rochester School of Medicine and Dentistry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

30 N Union St
Suite 105
Rochester, NY 14607-1345
Phone (585) 232-8940

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions2456
Skin biopsy402

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1995441NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC CurrentSince Dec 1, 2024 Accepting new patients
Dermatology Partners of Western New York, LLP Procedural Dermatology CurrentSince Nov 1, 2004 Accepting new patients

Locations

2508 Western Ave
Altamont, NY 12009
Phone (518) 690-0177

35 North St
Ste 100
Canandaigua, NY 14424
Phone (585) 232-8940

30 N Union St
Ste 105
Rochester, NY 14607
Phone (585) 232-8940

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: susan.psaila@schweigerderm.emadirect.md

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, 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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1548262371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION ST",
            "address_2": "SUITE 105",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071345",
            "telephone_number": "585-232-8940",
            "fax_number": "585-232-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION ST",
            "address_2": "SUITE 105",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071345",
            "telephone_number": "585-232-8940",
            "fax_number": "585-232-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSAILA",
        "first_name": "SUSAN",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "1995441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HALLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.