NPIMap

Individual provider Active NPI

Susan A Chiarito, MD

  • Family Medicine Physician
  • Vicksburg, MS
National Provider Identifier
1871534008
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14065 Issued in MS
Practice address
1901 Mission 66
Vicksburg, MS 39180-3711
Phone
(601) 636-8244
NPI assigned
Jun 9, 2006
Last updated
Feb 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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 14065 MS Primary

Addresses

Primary practice location

1901 Mission 66
Vicksburg, MS 39180-3711

Mailing address

1901 Mission 66
Vicksburg, MS 39180-3711
Phone (601) 636-8244

Other identifiers 1

IdentifierTypeStateIssuer
0112108MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000570 MS Practitioner - Family Practice 3678540333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1901 Mission
Suite 66
Vicksburg, MS 39180-3711
Phone 60163682443044

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Cannon MD LLC Current Accepting new patients
Flowers Medical Group LLC Family Medicine Current Accepting new patients
J Russell Barnes MD PC Family Medicine Current Accepting new patients
BC Medical LLC Family Medicine Current Accepting new patients
Cal-Med LLC Family Medicine Current Accepting new patients
Robert C Masterson DO PA Inc Family Medicine Current Accepting new patients
Mission Primary Care Clinic PLLC Family Medicine CurrentSince Oct 31, 2016 Accepting new patients
Rlgmdpa Inc Family Medicine Current Accepting new patients
Christina Hossley Inc Current Accepting new patients
K McDaniel Inc Current Accepting new patients
Denesia Y Giffin PLLC Current Accepting new patients
Joseph L Wilson MD Inc Current Accepting new patients
Susan a Chiarito MD PA Inc Family Medicine CurrentSince Dec 1, 1998 Accepting new patients

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1871534008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARITO",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "14065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112108",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.