Individual provider Active NPI

Susan M Laurie, MD

  • Internal Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1932182524
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101050075 Issued in VA
Practice address
2955 Ivy Road
Suite 205
Charlottesville, VA 22908-1205
Phone
(434) 243-4500
Fax
(434) 293-8570
NPI assigned
Nov 28, 2005
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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 0101050075 VA Primary

Addresses

Primary practice location

2955 Ivy Road
Suite 205
Charlottesville, VA 22908-1205

Mailing address

2955 Ivy Road
Suite 205
Charlottesville, VA 22908-1205
Phone (434) 243-4500

Other identifiers 8

IdentifierTypeStateIssuer
011594OtherVACIGNA
141036OtherVAANTHEM
005805104MedicaidVA
5805104MedicaidVA
142664OtherVASOUTHERN HEALTH
5012655OtherVAAETNA
110223792OtherVAMEDICARE RAILROAD
893815OtherVAMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110516000615 VA Practitioner - Internal Medicine 6103002779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Community Medicine University of Virginia LLCGroup PAC ID 5597701136, 7 clinicians

Practice addresses (Care Compare)

250 Merchant Walk SQ
Suite 1103
Charlottesville, VA 22902-6511
Phone (434) 328-4900

2955 Ivy Rd
Suite 205
Charlottesville, VA 22903-9353
Phone (434) 243-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.3 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101050075VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine University of Virginia LLC Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients
University of Virginia Physicians Group Past Accepting new patients

Locations

2955 Ivy Rd
Ste 205
Charlottesvle, VA 22903
Phone (434) 243-4500

Interoperability endpoints

  • Direct secure messaging: slaurie6875@direct.healthsystem.virginia.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1932182524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 IVY ROAD",
            "address_2": "SUITE 205",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229081205",
            "telephone_number": "434-243-4500",
            "fax_number": "434-293-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 IVY ROAD",
            "address_2": "SUITE 205",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229081205",
            "telephone_number": "434-243-4500",
            "fax_number": "434-293-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101050075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "011594",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "141036",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005805104",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5805104",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "142664",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5012655",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110223792",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "893815",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.