Susan R Adams, M.D.
Individual provider Active NPI Internal Medicine Physician · Hazelwood, MO
NPI 1871584474 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1871584474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 100517 (MO)
- Practice address
- 637 Dunn Rd Ste 170
Hazelwood, MO 63042-1759 - Phone
- (314) 838-5702
- Fax
- (314) 839-5596
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Multispecialty Group Inc
Practice addresses (Care Compare)
637 Dunn Rd
Suite 170
Hazelwood, MO 63042-1759
Phone (314) 838-5702
Hospital & facility affiliations
- Mercy Hospital St Louis
- SSM Health Depaul Hospital St Louis
- SSM Health Rehabilitation Hospital
- SSM Health Depaul Hospital - Anna House
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071130000623 | MO | Practitioner - Internal Medicine | 5395834170 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100517 | MO | MD | Internal Medicine Physician |
Interoperability endpoints
- susan.adams.p1@direct.essehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 100517 | MO | Yes |
Addresses
Primary practice location
637 Dunn Rd Ste 170
Hazelwood, MO 63042-1759
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 838-5702
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127450 | Other | MO | GHP |
| 172501 | Other | MO | HEALTHLINK |
| 28144 | Other | MO | BCBS |
| F37554 | Other | MO | MERCY |
| 000000010005 | Other | MO | ESSENCE |
| 4226213 | Other | MO | AETNA |
| 0400395 | Other | MO | UHC |
Other providers in Hazelwood, MO
- Sandra Renae Abron
- Abundant Grace Community Health Services, LLC
- Accident & Sports Rehab Corp
- Acute Home Care, LLC
- Nathaniel Adams
- Adult Visionary Consumer Directed Services, Inc.
- Adult Visionary in-Home Care, Inc.
- Adult Visionary in-Home Services, Inc.
- After Hours and Post Discharge Medicine LLC
- Ages in Stages LLC
All providers in Hazelwood, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.