Active NPI
Susan Veronica Karol, MD
- Surgery Physician
- Beverly, MA
National Provider Identifier
1770513533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 58861
- Practice address
- 100 Cummings Ctr
Suite 106P
Beverly, MA 01915-6115 - Phone
- (978) 922-9226
- Fax
- (978) 922-9203
- NPI assigned
- Jul 4, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 58861 | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr
Suite 106P
Beverly, MA 01915-6115
Mailing address
100 Cummings Ctr
Suite 106P
Beverly, MA 01915-6115
Phone (978) 922-9226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3074285 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Essex Surgical Associates, PC | Surgery | Past | Accepting new patients |
| Northeast Hospital Corporation | Past | Accepting new patients | |
| Beverly Surgical Associates Inc | Surgery | Past | Accepting new patients |
| Beth Israel Lahey Health Specialty Care, Inc. | Past | Accepting new patients |
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
Organizations & group practices 6
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.
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Surgery Physician
- Beverly, MA
- NPI 1003823105
-
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
- Internal Medicine Physician
- Gloucester, MA
- NPI 1235147760
-
- Surgery Physician
- Beverly, MA
- NPI 1689767758
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770513533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"address_2": "SUITE 106P",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "978-922-9226",
"fax_number": "978-922-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"address_2": "SUITE 106P",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "978-922-9226",
"fax_number": "978-922-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAROL",
"first_name": "SUSAN",
"middle_name": "VERONICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "58861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3074285",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.