Individual provider Active NPI

Susan G Smolen, MD

  • Family Medicine Physician
  • Oviedo, FL
National Provider Identifier
1609858323
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90314 Issued in FL
Practice address
2441 West State Road 426
Suite 2011
Oviedo, FL 32765-4515
Phone
(407) 678-6888
Fax
(407) 678-0252
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME90314 FL Primary

Addresses

Primary practice location

2441 West State Road 426
Suite 2011
Oviedo, FL 32765-4515

Mailing address

2441 West State Road 426
Suite 2011
Oviedo, FL 32765-4515
Phone (407) 678-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 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
I20040712000697 FL Practitioner - Family Practice 5890773246
I20110104000797 FL Practitioner - Family Practice 5890773246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Block Nation Chase Smolen Family Medicine IncGroup PAC ID 8628056140, 4 clinicians

Practice addresses (Care Compare)

2441 Sr 426
Suite 2011
Oviedo, FL 32765-4515

2441 W Sr
426 Suite 2011
Oviedo, FL 32765-4515
Phone (407) 678-6888

2441 W State Rd
426 Suite 2011
Oviedo, FL 32765-4515

2441 W State Rd 426
Suite 2011
Oviedo, FL 32765-4515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: susan.smolen@bncsfm.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1609858323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 WEST STATE ROAD 426",
            "address_2": "SUITE 2011",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654515",
            "telephone_number": "407-678-6888",
            "fax_number": "407-678-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 WEST STATE ROAD 426",
            "address_2": "SUITE 2011",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654515",
            "telephone_number": "407-678-6888",
            "fax_number": "407-678-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLEN",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.