Individual provider Active NPI

Susan Beth Tam, DO

  • Family Medicine Physician
  • Ferndale, MI
National Provider Identifier
1801873237
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5010013747 Issued in MI
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

Updated by the provider on Dec 16, 2025

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 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

IdentifierTypeStateIssuer
4645569MedicaidMI

Other names 1

  • Mrs. Susan Beth Guralski Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008001026 MI Practitioner - Family Practice 4183683642 Reassigns benefits to 2 organizations

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
Exclusive Physicians PLLCGroup PAC ID 9335279942, 20 clinicians

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 Home health agency, Bingham Farms, MI, CCN 237659

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5010013747MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusive Physicians PLLC Family Medicine CurrentSince Aug 25, 2014 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

  • Direct secure messaging: susan.tam.1@33060.direct.athenahealth.com
  • Direct secure messaging: susantam@epicpc.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.