Individual provider Active NPI

Susan Christine Biegel, M.D.

  • Internal Medicine Physician
  • Upland, CA
National Provider Identifier
1710956412
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G66575 Issued in CA
Practice address
1004 W Foothill Blvd Ste 200
Upland, CA 91786-3774
Phone
(909) 985-1908
Fax
(909) 963-1800
NPI assigned
Mar 15, 2006
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G66575 CA Primary

Addresses

Primary practice location

1004 W Foothill Blvd Ste 200
Upland, CA 91786-3774

Mailing address

1004 W Foothill Blvd Ste 200
Upland, CA 91786-3774
Phone (909) 985-1908

Other identifiers 1

IdentifierTypeStateIssuer
GR0100350MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040116000989 CA Practitioner - Internal Medicine 2163323643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1004 W Foothill Blvd
Upland, CA 91786-3791

1004 W Foothill Blvd
Suite 200
Upland, CA 91786-3774
Phone (909) 985-1908

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal544
Melanoma (skin cancer) excision1-10
Removal of tissue24
Removal of skin lesions32
Removal of nail tissue25
Removal or shaving of skin growth16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Biegel MD Inc Internal Medicine CurrentSince Oct 10, 2012 Accepting new patients
Complete Care Medical Group Professional Corporation Internal Medicine CurrentSince Apr 11, 2021 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

4902 Irvine Center Dr
Ste 103
Irvine, CA 92604
Phone (949) 651-0779

1004 W Foothill Blvd
Ste 200
Upland, CA 91786
Phone (909) 206-5956

1113 Alta Ave
Ste 220
Upland, CA 91786
Phone (909) 985-1908

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIDJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIDJBD/Endpoint/HIDJBD

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1710956412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W FOOTHILL BLVD STE 200",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863774",
            "telephone_number": "909-985-1908",
            "fax_number": "909-963-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W FOOTHILL BLVD STE 200",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863774",
            "telephone_number": "909-985-1908",
            "fax_number": "909-963-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEGEL",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G66575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.