Active NPI
Susan P Collins, M.D.
- Surgery Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- BP20077228
- Practice address
- 4801 Alberta Ave
El Paso, TX 79905-2707 - Phone
- (915) 215-4466
- NPI assigned
- Jun 16, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301110360 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN25439 | FL | |
| Surgery Physician | 208600000X | BP20077228 | TX | Primary |
Addresses
Primary practice location
4801 Alberta Ave
El Paso, TX 79905-2707
Mailing address
1431 SW 1St Ave BLDG Suite7
Ocala, FL 34471-6500
Phone (351) 401-1425
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TRN25439 | Other | FL | TRAINING LICENSE |
| BP20077228 | Other | TX | TRAINING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Cincinnati College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4040 Roosevelt Blvd
Middletown, OH 45044-6619
Phone (937) 832-9310
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP20077228 | TX | MD | Surgery Physician |
| TRN25439 | FL | MD | Student in an Organized Health Care Education/Training Program |
| 4301110360 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Specialists Inc | Surgery | Current | Accepting new patients |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Atrium Medical Center | Past | Accepting new patients | |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
4040 Roosevelt Blvd
Middletown, OH 45044
Phone (513) 424-0941
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
Interoperability endpoints
- susan.collins@hca5.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
dba Advanced Ankle and Foot Specialists
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1629428032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 SW 1ST AVE BLDG SUITE7",
"city": "OCALA",
"state": "FL",
"postal_code": "344716500",
"telephone_number": "351-401-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052707",
"telephone_number": "915-215-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "SUSAN",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301110360",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN25439",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP20077228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING LICENSE",
"identifier": "TRN25439",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAINING LICENSE",
"identifier": "BP20077228",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.