Individual provider Active NPI

Susan M Straten, D.O.

  • Diagnostic Radiology Physician
  • Irving, TX
National Provider Identifier
1902830409
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J5490 Issued in TX
Practice address
2021 N Macarthur Blvd Ste 115
Irving, TX 75061-2210
Phone
(972) 253-4315
Fax
(972) 253-2587
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J5490 TX Primary

Addresses

Primary practice location

2021 N Macarthur Blvd Ste 115
Irving, TX 75061-2210

Mailing address

2021 N Macarthur Blvd Ste 150
Irving, TX 75061-2210
Phone (972) 253-2560

Other identifiers 1

IdentifierTypeStateIssuer
0485229-07MedicaidTX

Other names 1

  • Susan M Quatro Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430001071 TX Practitioner - Diagnostic Radiology 9436147337 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J5490TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jul 7, 2018 Accepting new patients
Sherman Grayson Hospital LLC Current Accepting new patients
Gateway Diagnostic Imaging Sherman, LLC CurrentSince Jun 8, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 7, 2018 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Consultants in Radiology PA Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Georgia Telerad LLC Diagnostic Radiology Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Radcare of Maryland PC Diagnostic Radiology Past Accepting new patients

Locations

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638

2021 N MacArthur Blvd
Ste 115
Irving, TX 75061
Phone (972) 253-4315

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Interoperability endpoints

  • Direct secure messaging: susanstraten@wnjrmc.allscriptsdirect.net

Organizations & group practices 9

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1902830409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612210",
            "telephone_number": "972-253-2560",
            "fax_number": "972-253-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD STE 115",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612210",
            "telephone_number": "972-253-4315",
            "fax_number": "972-253-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATEN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J5490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0485229-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "QUATRO",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.