Ted L Sussman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD10269 Issued in ME

Practice address

22 Hartford St
Sigrid E Tompkins Health Center
Houlton, ME 04730-1844

Phone

(207) 532-4068

Fax

(207) 532-5974

NPI assigned

Mar 14, 2006

Last updated

May 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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 1

Specialty

Internal Medicine

Education

Tufts University School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houlton Regional HospitalGroup PAC ID 0042127946, shared by 5 NPIs, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1386804268
  Medicare reassignment NPD
• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Medicare reassignment NPD
• Ted L Sussman

  • Interpreter
  • Houlton, ME
  • NPI 1578710802

  Internal Medicine

  NPD (past) Authorized official
• Houlton Regional Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Houlton, ME
  • NPI 1013355254
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houlton Regional Hospital

  • Critical Access Hospital
  • Houlton, ME
  • NPI 1508823741
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1679542708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HARTFORD ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301891",
            "telephone_number": "207-532-2900",
            "fax_number": "207-532-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HARTFORD ST",
            "address_2": "SIGRID E TOMPKINS HEALTH CENTER",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301844",
            "telephone_number": "207-532-4068",
            "fax_number": "207-532-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "TED",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD10269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PACER CLINIC",
            "identifier": "TEME18",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily E. Stiles, MHRT-CSP/MHRT-C
• Damon L Stone, RN
• Jayde N Stover, CNA
• Successful Solutions LLC
• Successful Solutions, LLC.
• Vanessa Swallow, CADC
• Megan L Swimm, RDH
• Casey L Tarr
• Ted L Sussman
• Prakash Thawait, M.D.

• Internal Medicine Physician in Houlton, ME
• Providers in Houlton, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.

Verify at the official NPI Registry.