Active NPI
Susan Beth Tam, DO
- Family Medicine Physician
- Ferndale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5010013747
- Practice address
- 911 E 9 Mile Rd
Ferndale, MI 48220-1934 - Phone
- (248) 336-4000
- Fax
- (248) 336-9137
- NPI assigned
- Dec 28, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5010013747 | MI | Primary |
Addresses
Primary practice location
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Mailing address
18000 W 9 Mile Rd
Southfield, MI 48075-4009
Phone (248) 336-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4645569 | Medicaid | MI |
Other names 1
- Mrs. Susan Beth Guralski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Chicago College of Osteopathy, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 336-4000
Hospital & facility affiliations
- John Paul Home Health Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010013747 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exclusive Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Exclusive Physicians Group, PLLC | Current | Accepting new patients | |
| Family & Sports Medical Center | Past | Accepting new patients |
Locations
3051 Momentum Pl
Chicago, IL 60689
20901 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 532-2000
4059 W Davison
Detroit, MI 48238
Phone (313) 491-5400
18463 Livernois Ave
Detroit, MI 48221
Phone (313) 369-1500
911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229
3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121
4420 E Davison St
Hamtramck, MI 48212
Phone (313) 334-6711
26300 Woodward Ave
Royal Oak, MI 48067
Phone (248) 546-2110
12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131
29829 Telegraph Rd
Ste 202
Southfield, MI 48034
Phone (248) 208-9411
18591 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 395-2234
28001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 772-7180
Interoperability endpoints
- susan.tam.1@33060.direct.athenahealth.com
- susantam@epicpc.allscriptsdirect.net
- stam557437@direct.hfhs.org
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.
-
- Family Medicine Physician
- Hamtramck, MI
- NPI 1659145506
-
- Specialist
- Ferndale, MI
- NPI 1558439141
-
- Sports Medicine (Family Medicine) Physician
- Plymouth, MI
- NPI 1740280676
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bingham Farms, MI
- NPI 1609896208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1801873237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754009",
"telephone_number": "248-336-4000",
"fax_number": "248-336-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E 9 MILE RD",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201934",
"telephone_number": "248-336-4000",
"fax_number": "248-336-9137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "SUSAN",
"middle_name": "BETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5010013747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4645569",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "GURALSKI",
"middle_name": "BETH",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.