Susan Eysmann, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

035539 Issued in CT

Practice address

1177 Summer St
5TH Floor
Stamford, CT 06905-5572

Phone

(203) 353-1133

NPI assigned

Jul 11, 2006

Last updated

Jul 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Merit-based Incentive Payment System (MIPS)

Final score

90.52 of 100Reported as group

Quality

86.81

Promoting interoperability

100

Improvement activities

40

Cost

77.34

Merit-based Incentive Payment System (MIPS)

Final score

87.36 of 100Reported as group

Quality

77.36

Promoting interoperability

100

Improvement activities

40

Cost

74.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Medicare reassignment NPD
• Yale University

  dba Yale Medicine

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment NPD
• Greenwich Hospital

  • Community Based Hospice Care Agency
  • Stanford, CT
  • NPI 1073637724
  NPD
• Yale University

  • Adult Mental Health Clinic/Center
  • Hamden, CT
  • NPI 1134391824
  NPD
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD
• Cardiology Associates of Fairfield County PC

  • Cardiovascular Disease Physician
  • Stamford, CT
  • NPI 1104859172
  NPD (past)
• Heart Physicians, P.C.

  • Specialist
  • Stamford, CT
  • NPI 1497727580
  NPD (past)
• Hematology Oncology PC

  • Hematology & Oncology Physician
  • Stamford, CT
  • NPI 1629195219
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1841225612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 SUMMER ST",
            "address_2": "5TH FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 SUMMER ST",
            "address_2": "5TH FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055572",
            "telephone_number": "203-353-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYSMANN",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "035539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001355397",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Executive Health Group of Connecticut, PC (EHE International)
• Betty Exume, PA-C
• Eyecare Center of Stamford, LLC
• Eyeconn Associates, LLC
• Eyedr of Connecticut
• Ez Care Staffing LLC
• William Earl Ezzelle, LPC
• F.S. Dubois Center
• Sarah Kathryn Fabian
• Janelle Alexandra Fabre, LPN

• Cardiovascular Disease Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.