Individual provider Active NPI

Susan Ellen Sauber, MD

  • Pediatrics Physician
  • Bingham Farms, MI
National Provider Identifier
1861504334
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301406401 Issued in MI
Practice address
30400 Telegraph Rd Ste 101
Bingham Farms, MI 48025-4538
Phone
(248) 642-5437
Fax
(248) 642-5456
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301406401 MI Primary

Addresses

Primary practice location

30400 Telegraph Rd Ste 101
Bingham Farms, MI 48025-4538

Mailing address

30400 Telegraph Rd Ste 101
Bingham Farms, MI 48025-4538
Phone (248) 642-5437

Other identifiers 1

IdentifierTypeStateIssuer
4254459MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301406401MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Pediatrics PLLC Pediatrics CurrentSince Mar 27, 2022 Accepting new patients

Locations

30400 Telegraph Rd
Ste 101
Bingham Farms, MI 48025
Phone (248) 642-5437

31600 Telegraph Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 642-5437

Interoperability endpoints

  • Direct secure messaging: ssauber@medcenterpeds.opdirect.net
  • Direct secure messaging: ssauber61443@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1861504334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD STE 101",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254538",
            "telephone_number": "248-642-5437",
            "fax_number": "248-642-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 TELEGRAPH RD STE 101",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254538",
            "telephone_number": "248-642-5437",
            "fax_number": "248-642-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUBER",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301406401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4254459",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.