Kenneth H Susman, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3949 Issued in CA

Practice address

5901 W Olympic Blvd
Suite 509
Los Angeles, CA 90036-4667

Phone

(323) 938-3338

Fax

(323) 938-9379

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vega Medical Group IncGroup PAC ID 5294253084, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

80.98 of 100Reported as group

Quality

73.31

Promoting interoperability

92

Improvement activities

40

Cost

62

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kenneth.susman.p1@direct.lakeside.nextgenshare.com

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.

• Vega Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Glendale, CA
  • NPI 1609675404
  Medicare reassignment Care Compare group NPD
• Kern Podiatry - Foot and Ankle Clinic, Inc

  • Podiatric Clinic/Center
  • Bakersfield, CA
  • NPI 1619690872
  Medicare reassignment NPD
• My Foot Clinic, Inc.

  • Podiatrist
  • Artesia, CA
  • NPI 1942371224
  Medicare reassignment NPD
• Silver Summit Medical Corporation

  • Cardiovascular Disease Physician
  • Bakersfield, CA
  • NPI 1386754273
  Medicare reassignment NPD
• Susan M Ryan, DPM

  • Podiatric Clinic/Center
  • Auburn, CA
  • NPI 1124680624
  Medicare reassignment NPD
• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment NPD
• Oak Hills Medical Corporation

  • Podiatrist
  • Delano, CA
  • NPI 1932641644
  NPD
• U S Health Dept of Health & Human Services

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD
• US Health Dept of Health & Human Services

  • Critical Access Hospital
  • Pryor, MT
  • NPI 1407076219
  NPD
• Fontana Physicians Associates a Medical Corporation

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1174621585
  NPD (past)
• Foothill Community Medical Corp.

  • Family Medicine Physician
  • Azusa, CA
  • NPI 1881811404
  NPD (past)
• Foothill Community Medical Corporation

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1104043835
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Mendocino Coast

  • Critical Access Hospital
  • Fort Bragg, CA
  • NPI 1538113725
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1891720645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 N ALTA VISTA",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "91016",
            "telephone_number": "213-307-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD",
            "address_2": "SUITE 509",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364667",
            "telephone_number": "323-938-3338",
            "fax_number": "323-938-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSMAN",
        "first_name": "KENNETH",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shriraj Susarla
• Susie H Lau, M.D., a Medical Corporation
• Socrates Susim, M.D.
• Anna Tayeko Suskin
• Dacia C Susleck, MSN, RN, CRNA
• Melissa Sue Susman
• Jose Suson
• Katie Susse, D.C.
• Elana Sussman, RD
• Sustainable Economic Enterprises of Los Angeles

• Foot & Ankle Surgery Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.

Verify at the official NPI Registry.