Individual provider Active NPI

Susan Elizabeth Tucker, M.D.

  • Pediatric Endocrinology Physician
  • Greensboro, NC
National Provider Identifier
1912266768
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
2025-03456 Issued in NC
Practice address
301 E Wendover Ave Ste 311
Greensboro, NC 27401-1210
Phone
(336) 272-6161
NPI assigned
May 15, 2012
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 036.137392 IL
Pediatric Endocrinology Physician 2080P0205X 3305 WI
Pediatric Endocrinology Physician 2080P0205X 2025-03456 NC Primary
Pediatrics Physician 208000000X 036.137.392 IL

Addresses

Primary practice location

301 E Wendover Ave Ste 311
Greensboro, NC 27401-1210

Mailing address

2001 N Gary Ave Ste 240
Wheaton, IL 60187-3055
Phone (630) 416-4501

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5702
Phone (715) 387-5511

Other practice location 2

1315 Macom Dr Ste 7
Naperville, IL 60564-9362
Phone (630) 416-4501

Other practice location 3

2001 N Gary Ave Ste 240
Wheaton, IL 60187
Phone (630) 416-4501

Other names 1

  • Susan Elizabeth Lefkow Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC2 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
I20231018003080 WI Practitioner - Pediatric MedicinePractitioner - Endocrinology 5193022408 Reassigns benefits to 9 organizations
I20251113004288 NC Practitioner - Pediatric Medicine 5193022408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E Wendover Ave
FL 2
Greensboro, NC 27401-1221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.137.392ILMDPediatrics Physician
036.137392ILMDPediatric Endocrinology Physician
2025-03456NCMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Oct 9, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake Pediatrics CurrentSince Oct 9, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Moses Cone Physician Services, Inc. Pediatrics Current Accepting new patients
Moses Cone Physician Services, Inc. Pediatric Endocrinology CurrentSince Oct 15, 2025 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 9, 2023 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Oct 15, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 9, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 9, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 9, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 9, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Oct 9, 2023 Accepting new patients
Marshfield Clinic Inc Pediatrics CurrentSince Oct 9, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 9, 2023 Accepting new patients

Locations

1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331

301 E Wendover Ave
Ste 311
Greensboro, NC 27401
Phone (336) 272-6161

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1912266768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N GARY AVE STE 240",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873055",
            "telephone_number": "630-416-4501",
            "fax_number": "630-416-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE STE 311",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011210",
            "telephone_number": "336-272-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495702",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Macom Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605649362",
            "country_code": "US",
            "telephone_number": "630-416-4501",
            "fax_number": "630-416-4504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N Gary Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "60187",
            "country_code": "US",
            "telephone_number": "630-416-4501",
            "fax_number": "630-416-4504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036.137392",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "WI",
            "license": "3305",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NC",
            "license": "2025-03456",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.137.392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LEFKOW",
            "middle_name": "ELIZABETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.