Individual provider Active NPI

Michael O Sanusi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Newark, DE
National Provider Identifier
1720019102
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C1-0028246 Issued in DE
Practice address
4755 Ogletown Stanton Road
Suite 1E50
Newark, DE 19718-2200
Phone
(302) 733-1980
Fax
(302) 733-1986
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A54002 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 057666 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A54002 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 57666 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C1-0028246 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Road
Suite 1E50
Newark, DE 19718-2200

Mailing address

504 Ladson CT
Decatur, GA 30033-5379
Phone (470) 493-4267

Other practice location 1

504 Ladson Ct
Decatur, GA 30033-5379
Phone (470) 493-4267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DE2 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
I20060801000320 GA Practitioner - Cardiac SurgeryPractitioner - General Surgery 1850304205 Reassigns benefits to 1 organization
I20250716002975 DE Practitioner - Cardiac Surgery 1850304205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54002CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
057666GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
57666GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Surgery CurrentSince Jul 1, 2025 Accepting new patients
Cardiothoracic Providers at Children'S, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 11, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2025 Accepting new patients
Emory Health Care Past Accepting new patients
UCSF Dept of Surgery Surgery Past Accepting new patients
The Emory Clinic Pediatric Providers Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 1E50
Newark, DE 19718
Phone (302) 733-1980

4755 Ogletown Stanton Rd
#1E50
Newark, DE 19718
Phone (302) 733-1980

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

2015 Upper Gate Dr NE
Atlanta, GA 30322
Phone (404) 778-2400

1405 Clifton Rd NE
Fl 1
Atlanta, GA 30322
Phone (404) 785-6499

2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1720019102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LADSON CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335379",
            "telephone_number": "470-493-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 1E50",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1980",
            "fax_number": "302-733-1986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Ladson Ct",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300335379",
            "country_code": "US",
            "telephone_number": "470-493-4267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANUSI",
        "first_name": "MICHAEL",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A54002",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "057666",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A54002",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "57666",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "DE",
            "license": "C1-0028246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.