Active NPI
Susan Marie Mason, D.O.
- Family Medicine Physician
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO04416
- Practice address
- 4325 Williams Blvd
Cedar Rapids, IA 52404 - Phone
- (319) 368-8400
- Fax
- (319) 656-3319
- NPI assigned
- Apr 14, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT011926 | PA | |
| Family Medicine Physician | 207Q00000X | 4416 | IA | |
| Family Medicine Physician | 207Q00000X | DO04416 | IA | Primary |
Addresses
Primary practice location
4325 Williams Blvd
Cedar Rapids, IA 52404
Mailing address
4325 Williams Blvd
Cedar Rapids, IA 52404
Phone (319) 368-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130729000454 | IA | Practitioner - Internal Medicine | 2163548959 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Larew Internal Medicine PLCVohra Wound Physicians of the West PC
Practice addresses (Care Compare)
2557 N Dodge St
Iowa City, IA 52245-9556
Phone (319) 338-1535
2730 Crow Creek Rd
Bettendorf, IA 52722-2066
Phone (877) 866-7123
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 347 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4416 | IA | MD | Family Medicine Physician |
| DO04416 | IA | MD | Family Medicine Physician |
| OT011926 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of the West, P.C. | Family Medicine | Current | Accepting new patients |
Locations
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463
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.
-
- Family Medicine Physician
- Englewood, CO
- NPI 1205176096
Family Medicine, IA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1841464591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 WILLIAMS BLVD",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52404",
"telephone_number": "319-368-8400",
"fax_number": "319-358-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 WILLIAMS BLVD",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52404",
"telephone_number": "319-368-8400",
"fax_number": "319-656-3319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT011926",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "4416",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO04416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.