Individual provider Active NPI

Susie Ro, MD

  • Neurology Physician
  • Evanston, IL
National Provider Identifier
1902965643
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036107977 Issued in IL
Practice address
1000 Central St Ste 880
Evanston, IL 60201-1780
Phone
(847) 570-2570
Fax
(847) 657-5708
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine Physician 204R00000X MD00048739 WA
Neurology Physician 2084N0400X 036107977 IL Primary
Neurology Physician 2084N0400X 4301511152 MI
Neurology Physician 2084N0400X MD00048739 WA
Clinical Neurophysiology Physician 2084N0600X MD00048739 WA

Addresses

Primary practice location

1000 Central St Ste 880
Evanston, IL 60201-1780

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice location 1

34503 9th Ave S Ste 230
Federal Way, WA 98003-8726
Phone (253) 838-3103

Other practice location 2

1608 S J St Fl 5
Tacoma, WA 98405-4930
Phone (253) 274-7505

Other identifiers 1

IdentifierTypeStateIssuer
1056456MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sro1043106@wm.providencedirect.org Direct
Direct Messaging Address sro723576@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050624000627 IL Practitioner - Neurology 7810932308 Reassigns benefits to 1 organization
I20070928000316 WA Practitioner - Neurology 7810932308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
McGill University, Faculty of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1000 Central St
Evanston, IL 60201-1780

1051 W Rand Rd
Arlington Heights, IL 60004-2315

2100 Pfingsten Rd
Glenview, IL 60026-1301

2650 Ridge Ave
Evanston, IL 60201-1700

920 Milwaukee Ave
Lincolnshire, IL 60069-3839
Phone (847) 866-7846

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511152MIMDNeurology Physician
MD00048739WAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurological PLLC Neurology CurrentSince May 4, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 6, 2025 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Franciscan Medical Group Past Accepting new patients
Patrick J. Hogan III, D.O. Neurology PastSince Jan 3, 2023 Accepting new patients
Northwest Community Healthcare Past Accepting new patients

Locations

1051 W Rand Rd
#210
Arlington Heights, IL 60004
Phone (847) 618-0326

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

1000 Central St
Ste 880
Evanston, IL 60201
Phone (847) 570-2825

920 Milwaukee Ave
Ste 2100
Lincolnshire, IL 60069
Phone (847) 663-8200

1520 W 3rd Ave
Ste 101
Spokane, WA 99201
Phone (509) 747-5165

26 E 5th Ave
Spokane, WA 99202
Phone (509) 458-7720

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Interoperability endpoints

  • Direct secure messaging: susiero.northwestneurological@138809.advancedmd-direct.com
  • FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4
  • Direct secure messaging: sro723576@fhsce.catholichealth.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1902965643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CENTRAL ST STE 880",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011780",
            "telephone_number": "847-570-2570",
            "fax_number": "847-657-5708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34503 9th Ave S Ste 230",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038726",
            "country_code": "US",
            "telephone_number": "253-838-3103",
            "fax_number": "253-838-7134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1608 S J St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054930",
            "country_code": "US",
            "telephone_number": "253-274-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RO",
        "first_name": "SUSIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "WA",
            "license": "MD00048739",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036107977",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301511152",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00048739",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "WA",
            "license": "MD00048739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056456",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sro1043106@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 17th Ave Ste 540",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981224470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sro723576@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34503 9th Ave S Ste 230",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980038726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.