Active NPI
Susan Smith, M.D.
- Diagnostic Radiology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME70923
- Practice address
- 20 W Kaley St
Orlando, FL 32806-2931 - Phone
- (407) 423-2581
- Fax
- (407) 849-6470
- NPI assigned
- Jul 8, 2005
- Last updated
- Aug 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | ME70923 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME70923 | FL | Primary |
Addresses
Primary practice location
20 W Kaley St
Orlando, FL 32806-2931
Mailing address
20 W Kaley St
Orlando, FL 32806-2931
Phone (407) 423-2581
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300067508 | Other | FL | RR MEDICARE |
| 250045100 | Medicaid | FL | |
| 31502 | Other | FL | BCBS OF FLORIDA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohri, LLC | Current | Accepting new patients | |
| Ohri, LLC | Current | Accepting new patients | |
| Ohri, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Pediatric Radiology | Current | Accepting new patients |
| Florida Radiology Imaging at Lake Mary LLC | Diagnostic Radiology | Past | Accepting new patients |
| Florida Radiology Imaging at Lake Mary, LLC | Pediatric Radiology | Past | Accepting new patients |
Locations
398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955
20 W Kaley St
Orlando, FL 32806
Phone (407) 423-2581
Networks
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
dba Orlando Health Imaging Centers
- Diagnostic Radiology Physician
- Altamonte Springs, FL
- NPI 1386034346
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Pediatric Radiology
-
dba Florida Radiology Imaging at Universal Center
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1003983610
-
dba AdventHealth Imaging
- Diagnostic Radiology Physician
- Lake Mary, FL
- NPI 1740256494
Pediatric Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1649278128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W KALEY ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062931",
"telephone_number": "407-423-2581",
"fax_number": "407-849-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W KALEY ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062931",
"telephone_number": "407-423-2581",
"fax_number": "407-849-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SUSAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "FL",
"license": "ME70923",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME70923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300067508",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250045100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "31502",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.