Individual provider Active NPI

Susan T Erie, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1609871862
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1989 Issued in TX
Practice address
9511 Huffmeister Rd Ste 100
Houston, TX 77095-2865
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 J1989 TX Primary

Addresses

Primary practice location

9511 Huffmeister Rd Ste 100
Houston, TX 77095-2865

Mailing address

PO Box 392929 Ste 200
Pittsburgh, PA 15251-0001
Phone (713) 461-2915

Other identifiers 1

IdentifierTypeStateIssuer
8433K3OtherTXMEDICARE ID #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susan.erie.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1989TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Mar 26, 2023 Accepting new patients
Village Family Pharmacy LLC PastSince Apr 7, 2014 Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

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 9

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1609871862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392929 STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152510001",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 HUFFMEISTER RD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952865",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIE",
        "first_name": "SUSAN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID #",
            "identifier": "8433K3",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.erie.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "9511 Huffmeister Rd Ste 100",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770952865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.