Individual provider Active NPI

Susan Gani Kozauer, MD

  • Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1720203284
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0062508 Issued in MD
Practice address
7910 Woodmont Ave
Suite 1101
Bethesda, MD 20814-3002
Phone
(301) 208-0930
NPI assigned
Apr 17, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0062508 MD Primary

Addresses

Primary practice location

7910 Woodmont Ave
Suite 1101
Bethesda, MD 20814-3002

Mailing address

14225 Poplar Hill Rd
Darnestown, MD 20874-3562
Phone (240) 683-5730

Other names 1

  • Dr. Susan Gani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Physicians, P.a. Psychiatry Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Kozauer and Kozauer PA Psychiatry Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720203284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14225 POPLAR HILL RD",
            "city": "DARNESTOWN",
            "state": "MD",
            "postal_code": "208743562",
            "telephone_number": "240-683-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE",
            "address_2": "SUITE 1101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143002",
            "telephone_number": "301-208-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAUER",
        "first_name": "SUSAN",
        "middle_name": "GANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0062508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GANI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.