Susan Ann Crockett, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

J7770 Issued in TX

Practice address

12500 Judson Rd Ste 210
Live Oak, TX 78233-4146

Phone

(210) 878-0090

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

No

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.

• Virtuosa, PLLC

  • Obstetrics & Gynecology Physician
  • Live Oak, TX
  • NPI 1407272834

  TX

  Medicare reassignment Care Compare group Authorized official
• Methodist Physician Practices, PLLC

  • Surgery Physician
  • San Antonio, TX
  • NPI 1922252717

  TX

  Medicare reassignment Care Compare group NPD
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.

  • Nephrology Physician
  • Schertz, TX
  • NPI 1265603971
  NPD (past)
• Santa Rosa Family Health Center

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1679572804
  NPD (past)

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

• Methodist Healthcare System of San Antonio LTD LLP

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236

  Hospital

  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1124074273

  Hospital

  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1689627655

  Hospital

  Care Compare affiliation
• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1952348021

  Hospital

  Care Compare affiliation

Specialty

Obstetrics/Gynecology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virtuosa PLLC 4 clinicians

Methodist Physician Practices PLLC 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital Hospital, San Antonio, TX, CCN 450388
• Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in TX

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susancrockett@vgyn.allscriptsdirect.net
• Direct secure messaging: susan.crockett.1@29009.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2026.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1821169228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 JUDSON RD STE 210",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334146",
            "telephone_number": "210-878-0090",
            "fax_number": "210-878-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 JUDSON RD STE 210",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334146",
            "telephone_number": "210-878-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J7770",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J7770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Council Oaks Community Options, LTD.
• Naomi Cousins-Bailey
• Mariann M Craddock, NP
• Kelly L Crain, RBT
• Sabrina Crane
• Drew Stephen Czerminski, DC
• Rhonda Claudine D'Lorm, CCC-SLP
• Dabas Cancer Institute, P.a.
• Basel Dabas, M.D.
• Virginia Bralley Dalton, LCSW-S

• All providers in Live Oak, TX
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.

Verify at the official NPI Registry.