Active NPI
Susan B Rogers, M.D.
- Family Medicine Physician
- Richardson, TX
National Provider Identifier
1629043179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G6004
- Practice address
- 399 W Campbell Rd
#101
Richardson, TX 75080-3595 - Phone
- (972) 238-1848
- Fax
- (972) 238-8735
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G6004 | TX | Primary |
Addresses
Primary practice location
399 W Campbell Rd
#101
Richardson, TX 75080-3595
Mailing address
399 W Campbell Rd
#101
Richardson, TX 75080-3595
Phone (972) 238-1848
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4019553 | Other | TX | AETNA NON-HMO |
| 098426203 | Medicaid | TX | |
| 080154026 | Other | TX | RAILROAD MEDICARE |
| 2266929 | Other | TX | AETNA HMO |
| P00845040 | Other | TX | RR MC |
| 00FV75 | Other | TX | BCBS |
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 |
|---|---|---|---|
| Medhealth | Past | Accepting new patients | |
| Richardson Physician Alliance | Family Medicine | Past | Accepting new patients |
| Medhealth | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1144277542
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1629043179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 W CAMPBELL RD",
"address_2": "#101",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803595",
"telephone_number": "972-238-1848",
"fax_number": "972-238-8735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 W CAMPBELL RD",
"address_2": "#101",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803595",
"telephone_number": "972-238-1848",
"fax_number": "972-238-8735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SUSAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G6004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "4019553",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098426203",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080154026",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2266929",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "P00845040",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00FV75",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.