Individual provider Active NPI

Suzette S Killeen, M.D.

  • Specialist
  • Marrero, LA
National Provider Identifier
1699774935
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L020346 Issued in LA
Practice address
4601 Wichers Dr
Marrero, LA 70072-3049
Phone
(504) 347-8434
Fax
(504) 347-9868
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L020346 LA Primary

Addresses

Primary practice location

4601 Wichers Dr
Marrero, LA 70072-3049

Mailing address

4601 Wichers Dr
Marrero, LA 70072-3049
Phone (504) 347-8434

Other identifiers 1

IdentifierTypeStateIssuer
1971286MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20100927000211 LA Practitioner - Ophthalmology 7517013949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Eye ClinicGroup PAC ID 0143359281, 3 clinicians

Practice addresses (Care Compare)

4601 Wichers Dr
Marrero, LA 70072-3049
Phone (504) 347-8434

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
92.43
Improvement activities
40
Cost
71.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L020346LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Eye Clinic Specialist CurrentSince Sep 1, 1991 Accepting new patients

Locations

4601 Wichers Dr
Marrero, LA 70072
Phone (504) 347-8219

Interoperability endpoints

  • Direct secure messaging: skilleen@westsideeyeclinic.intellechartdirect.net

Organizations & group practices 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1699774935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723049",
            "telephone_number": "504-347-8434",
            "fax_number": "504-347-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723049",
            "telephone_number": "504-347-8434",
            "fax_number": "504-347-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "SUZETTE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "L020346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1971286",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.