Active NPI
Susan G Love, DPM
- Podiatrist
- Titusville, FL
National Provider Identifier
1740370071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 1702
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5DZKS | Other | FL | FLORIDA BLUE IDENTIFICATION NUMBER |
| 1720451446 | Other | FL | GROUP 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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 148 |
| Removal of nail tissue | 1896 |
| Removal or shaving of skin growth | 972 |
| Skin biopsy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 1702 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merritt Island Foot & Ankle Inc | Podiatrist | Current | Accepting new patients |
| Joan M McNeela | Podiatrist | Current | 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
- 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.
-
- Podiatrist
- Titusville, FL
- NPI 1720451446
-
- Foot & Ankle Surgery Podiatrist
- Merritt Island, FL
- NPI 1427236199
-
- Internal Medicine Physician
- Howard Beach, NY
- NPI 1013239433
-
- Physical Medicine & Rehabilitation Physician
- Howard Beach, NY
- NPI 1255519856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.