Individual provider Active NPI

Susan Inonog, M.D.

  • Internal Medicine Physician
  • Chelsea, MA
National Provider Identifier
1922369933
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263311 Issued in MA
Practice address
100 Everett Ave
Chelsea, MA 02150-2309
Phone
(617) 884-8300
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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 263311 MA Primary

Addresses

Primary practice location

100 Everett Ave
Chelsea, MA 02150-2309

Mailing address

100 Everett Ave
Chelsea, MA 02150-2309
Phone (617) 884-8300

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
I20231030000195 TX Practitioner - Internal Medicine 9133436439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

3200 Red River St
Suite 201
Austin, TX 78705-2655
Phone (855) 481-8375

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Health Medical Group Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients

Locations

507 Calles St
Austin, TX 78702

3200 Red River St
Ste 201
Austin, TX 78705
Phone (512) 473-0201

500 N Capital of Texas Hwy
Ste 125
Austin, TX 78746
Phone (512) 443-9355

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

507 Calles St
Ste 100
Austin, TX 78702

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

511 Oakwood Blvd
Ste 200
Round Rock, TX 78681
Phone (512) 246-2262

455 University Blvd
Ste 400
Round Rock, TX 78665
Phone (512) 766-2171

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: susan.inonog.1@28292.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1922369933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502309",
            "telephone_number": "617-884-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EVERETT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502309",
            "telephone_number": "617-884-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INONOG",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "263311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.