Individual provider Active NPI

Susana Marie Collins, MD

  • General Practice Physician
  • Louisville, KY
National Provider Identifier
1669050613
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R5696 Issued in IL
Practice address
7926 Preston Hwy Ste 108
Louisville, KY 40219-3848
Phone
(502) 964-4357
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R5696 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7926 Preston Hwy Ste 108
Louisville, KY 40219-3848

Mailing address

1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone (586) 840-1333

Other practice location 1

1921 E 8 Mile Rd
Warren, MI 48091-2402
Phone (586) 840-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230808000988 KY Practitioner - Family Practice 3870974041 Reassigns benefits to 1 organization
I20260527002611 MI Practitioner - General Practice 3870974041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

7926 Preston Hwy
Suite 106
Louisville, KY 40219-3848
Phone (502) 964-4357

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5696ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Community Medical Associates, Inc. General Practice CurrentSince Jul 1, 2023 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

7926 Preston Hwy
Ste 108
Louisville, KY 40219
Phone (502) 964-4357

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1669050613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 E 8 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912402",
            "telephone_number": "586-840-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7926 PRESTON HWY STE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193848",
            "telephone_number": "502-964-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 E 8 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480912402",
            "country_code": "US",
            "telephone_number": "586-840-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SUSANA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "R5696",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.