NPIMap

Individual provider Active NPI

Sharon Matarlo Suson, M.D.

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1629254685
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2008-01127 Issued in NC
Practice address
3004 Tower Blvd
Durham, NC 27707-2542
Phone
(919) 490-9800
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2008-01127 NC Primary

Addresses

Primary practice location

3004 Tower Blvd
Durham, NC 27707-2542

Mailing address

3004 Tower Blvd
Durham, NC 27707-2542
Phone (919) 490-9800

Other identifiers 1

IdentifierTypeStateIssuer
2008-01127OtherNCLIC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000100 NC Practitioner - Internal Medicine 9436226297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1821 Hillandale Rd
Durham, NC 27705-2671

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3044 Tower Blvd
Durham, NC 27707-2542
Phone (919) 490-9800

7200 Creedmoor Rd
Suite 208
Raleigh, NC 27613-1711
Phone (919) 327-1650

Hospital & facility affiliations

  • Duke Home Health Home health agency, Durham, NC, CCN 347136
  • Amedisys Home Health of Chapel Hill Home health agency, Chapel Hill, NC, CCN 347030
  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Jul 9, 2008 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Past Accepting new patients

Locations

3004 Tower Blvd
Durham, NC 27707
Phone (919) 236-1882

3024 Pickett Rd
Durham, NC 27705
Phone (919) 490-9800

1821 Hillandale Rd
Ste 24B
Durham, NC 27705
Phone (919) 383-5437

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

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.

Hospital & facility affiliations 10

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1629254685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 TOWER BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072542",
            "telephone_number": "919-490-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 TOWER BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072542",
            "telephone_number": "919-490-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSON",
        "first_name": "SHARON",
        "middle_name": "MATARLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC #",
            "identifier": "2008-01127",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.