Individual provider Active NPI

Suzanne M Hefferan, D.P.M.

  • Foot Surgery Podiatrist
  • Spencerport, NY
National Provider Identifier
1649237892
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005280 Issued in NY
Practice address
24 West Avenue
Spencerport, NY 14559-1344
Phone
(585) 352-5211
Fax
(585) 352-5218
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005280 NY
Foot Surgery Podiatrist 213ES0131X N005280 NY Primary

Addresses

Primary practice location

24 West Avenue
Spencerport, NY 14559-1344

Mailing address

24 West Avenue
Spencerport, NY 14559-1344
Phone (585) 352-5211

Other identifiers 1

IdentifierTypeStateIssuer
01692153MedicaidNY

Other names 1

  • Dr. Suzanne M. Schimenti Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123001087 NY Practitioner - Podiatry 3476768409 Practice locations: Spencerport, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 W Ave
Spencerport, NY 14559-1344

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue189
Removal of skin lesions57
Removal of nail tissue94
Removal or shaving of skin growth26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005280NYMDMental Health Counselor
N005280NYMDFoot Surgery Podiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649237892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WEST AVENUE",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591344",
            "telephone_number": "585-352-5211",
            "fax_number": "585-352-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WEST AVENUE",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591344",
            "telephone_number": "585-352-5211",
            "fax_number": "585-352-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERAN",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005280",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01692153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "SCHIMENTI",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.