Individual provider Active NPI

Judith Anne Suess, MD

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1780866194
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301064415 Issued in MI
Practice address
913 W Holmes Rd
Suite 189
Lansing, MI 48910-0426
Phone
(517) 272-4357
Fax
(517) 272-4358
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301064415 MI Primary

Addresses

Primary practice location

913 W Holmes Rd
Suite 189
Lansing, MI 48910-0426

Mailing address

PO Box 43
Mason, MI 48854-0043
Phone (517) 623-6260

Other identifiers 1

IdentifierTypeStateIssuer
080C317830OtherMIBLUE CROSS BLUE SHIELD

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

State licenses

LicenseStateTypeSpecialty
4301064415MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lxxxiii, LLC CurrentSince Dec 1, 2022 Accepting new patients
BHG Lxxxiii, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

913 W Holmes Rd
Ste 189
Lansing, MI 48910
Phone (517) 272-4357

Organizations & group practices 2

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1780866194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540043",
            "telephone_number": "517-623-6260",
            "fax_number": "517-623-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD",
            "address_2": "SUITE 189",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100426",
            "telephone_number": "517-272-4357",
            "fax_number": "517-272-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUESS",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301064415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080C317830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.