Active NPI
Susanna Szelestey, M.D.
- Obstetrics Physician
- Commerce TWP, MI
National Provider Identifier
1871549931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 4301043920
- Practice address
- 8391 Commerce Rd
Suite 101
Commerce TWP, MI 48382-4489 - Phone
- (248) 360-9090
- Fax
- (248) 360-9093
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 4301043920 | MI | Primary |
Addresses
Primary practice location
8391 Commerce Rd
Suite 101
Commerce TWP, MI 48382-4489
Mailing address
8391 Commerce Rd
Suite 101
Commerce TWP, MI 48382-4489
Phone (248) 360-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4212931 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301043920 | MI | MD | Obstetrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1871549931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8391 COMMERCE RD",
"address_2": "SUITE 101",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483824489",
"telephone_number": "248-360-9090",
"fax_number": "248-360-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8391 COMMERCE RD",
"address_2": "SUITE 101",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483824489",
"telephone_number": "248-360-9090",
"fax_number": "248-360-9093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZELESTEY",
"first_name": "SUSANNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MI",
"license": "4301043920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4212931",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.