Active NPI
Susan J. Sherman, M.D.
- Maternal & Fetal Medicine Physician
- Novi, MI
National Provider Identifier
1619926185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 4301050402
- Practice address
- 43077 Brookstone Dr
Novi, MI 48377-2714 - Phone
- (248) 622-0356
- NPI assigned
- May 10, 2006
- Last updated
- Apr 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 01064843A | IN | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 4301050402 | MI | Primary |
Addresses
Primary practice location
43077 Brookstone Dr
Novi, MI 48377-2714
Mailing address
PO Box 250485
West Bloomfield, MI 48325-0485
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181980006 | Other | IN | MEDICARE PTAN |
| 201173530 | Medicaid | IN | |
| 266180270 | Other | IN | MEDICARE PTAN |
| 4624380 | Medicaid | MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64725 | CA | MD | Pharmacist |
| 4301050402 | MI | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCG Professional Billing L.L.C. | Past | Accepting new patients | |
| McLaren Macomb | Past | Accepting new patients |
Interoperability endpoints
- susansherman@beacon.allscriptsdirect.net
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.
-
- Obstetrics & Gynecology Physician
- Clinton Township, MI
- NPI 1003936741
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1396014601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1619926185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250485",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483250485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43077 BROOKSTONE DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483772714",
"telephone_number": "248-622-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "SUSAN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IN",
"license": "01064843A",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MI",
"license": "4301050402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "181980006",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201173530",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "266180270",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4624380",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.