Joseph Stephen Susa, DO

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

M2136 Issued in TX

Practice address

2330 Butler St
Suite 115
Dallas, TX 75235-7828

Phone

(214) 530-5200

Fax

(214) 530-5211

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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 TX, FL, NV, AZ4 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 4

Specialty

Pathology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Propath Associates PLLCGroup PAC ID 6709844236, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049
• JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Propath Associates, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
  • NPI 1902885890
  Medicare reassignment Care Compare group NPD
• Laboratory Medicine Consultants LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
  • NPI 1083675169

  Dermatopathology

  Medicare reassignment NPD
• Laboratory Medicine Consultants LTD

  • Clinical Medical Laboratory
  • Las Vegas, NV
  • NPI 1962463786

  AZ

  Medicare reassignment NPD
• Mark and Kambour MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Miami Lakes, FL
  • NPI 1760456172
  Medicare reassignment NPD
• Biopsy Diagnostics, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Ridgeland, SC
  • NPI 1689652216
  NPD (past)
• Pinkus Dermatopathology Laboratory, PC

  • Clinical Medical Laboratory
  • Monroe, MI
  • NPI 1346223377
  NPD (past)
• Twin Cities Dermatopathology, LLC

  • Dermatopathology (Pathology) Physician
  • Plymouth, MN
  • NPI 1144223009
  NPD (past)

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

• North Central Surgical Center L.L.P.

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1548236524
  Care Compare affiliation
• Tarrant County Hospital District

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1992753222
  Care Compare affiliation

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1699744136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 RESEARCH ROW",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352520",
            "telephone_number": "214-530-5200",
            "fax_number": "214-530-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 BUTLER ST",
            "address_2": "SUITE 115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357828",
            "telephone_number": "214-530-5200",
            "fax_number": "214-530-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSA",
        "first_name": "JOSEPH",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "M2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176911901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renata Surles, PHARMD
• Amy Surls, LPC
• Ariba Surtee, MD
• Lucas Martinus Suryakusuma, MPAS, PA-C
• Sus-Spencer Enterprises LLC
• Susan Bacsik DO PLLC
• Susan J Shiring LCSW PA
• Susan Knapton MD PLLC
• Susan R Jaros Crna PC
• Susan Talmage, PHD, PA

• Dermatopathology (Pathology) Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatopathology (Pathology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.
• 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.