Individual provider Active NPI

Susan G Love, DPM

  • Podiatrist
  • Titusville, FL
National Provider Identifier
1740370071
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 1702 Issued in FL
Practice address
1717 Garden St
Titusville, FL 32796-5002
Phone
(321) 267-5577
Fax
(321) 264-0724
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 1702 FL Primary

Addresses

Primary practice location

1717 Garden St
Titusville, FL 32796-5002

Mailing address

1717 Garden St
Titusville, FL 32796-5002
Phone (321) 267-5577

Other identifiers 2

IdentifierTypeStateIssuer
5DZKSOtherFLFLORIDA BLUE IDENTIFICATION NUMBER
1720451446OtherFLGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224000268 FL Practitioner - Podiatry 8325002017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1717 Garden St
Titusville, FL 32796-5002
Phone (321) 267-5577

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue148
Removal of nail tissue1896
Removal or shaving of skin growth972
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 1702FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Merritt Island Foot & Ankle Inc Podiatrist CurrentSince Jan 1, 2015 Accepting new patients
Joan M McNeela Podiatrist CurrentSince Oct 19, 2015 Accepting new patients
Orthoflex Physical Therapy & Rehabilitation, P.C. Past Accepting new patients
Cross Bay Medical Services PC Past Accepting new patients

Locations

2404 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 452-1327

1717 Garden St
Titusville, FL 32796
Phone (321) 267-5577

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1542

Organizations & group practices 4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1740370071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327965002",
            "telephone_number": "321-267-5577",
            "fax_number": "321-264-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327965002",
            "telephone_number": "321-267-5577",
            "fax_number": "321-264-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE IDENTIFICATION NUMBER",
            "identifier": "5DZKS",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1720451446",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.