Active NPI
Suzette Lugo-Medina, M.D.
- Psychiatry Physician
- Coldwater, MI
National Provider Identifier
1922025865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301078982
- Practice address
- 358 E Chicago St Ste 204E
Coldwater, MI 49036-2073 - Phone
- (517) 617-9888
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | SL078982 | MI | |
| Psychiatry Physician | 2084P0800X | 4301078982 | MI | Primary |
Addresses
Primary practice location
358 E Chicago St Ste 204E
Coldwater, MI 49036-2073
Mailing address
1131 N Osseo Rd
Hillsdale, MI 49242-9714
Phone (517) 523-3695
Other names 1
- Suzette Lugo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL078982 | MI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcos a Rodriguez MD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Coldwater, MI
- NPI 1396049300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1922025865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 N OSSEO RD",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492429714",
"telephone_number": "517-523-3695",
"fax_number": "517-523-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 E CHICAGO ST STE 204E",
"city": "COLDWATER",
"state": "MI",
"postal_code": "490362073",
"telephone_number": "517-617-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO-MEDINA",
"first_name": "SUZETTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "SL078982",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301078982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZETTE",
"last_name": "LUGO",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Coldwater, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.