Individual provider Active NPI

Susan Enright, DO

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1912948712
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101011278 Issued in MI
Practice address
420 S Saginaw St
Flint, MI 48502-1803
Phone
(810) 232-3522
Fax
(810) 762-4494
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101011278 MI Primary

Addresses

Primary practice location

420 S Saginaw St
Flint, MI 48502-1803

Mailing address

420 S Saginaw St
Flint, MI 48502-1803
Phone (810) 232-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100114000677 MI Practitioner - Internal Medicine 5496897399 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011278MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Jan 1, 2002 Accepting new patients
Henry Ford Health Genesys Hospital CurrentSince Jan 1, 2002 Accepting new patients

Locations

3021 S Dort Hwy
Flint, MI 48507
Phone (810) 844-9160

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

5445 Ali Dr
Grand Blanc, MI 48439
Phone (810) 428-1181

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 2

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1912948712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021803",
            "telephone_number": "810-232-3522",
            "fax_number": "810-762-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021803",
            "telephone_number": "810-232-3522",
            "fax_number": "810-762-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIGHT",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101011278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.