Ernest M. Sussman, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

6328 Issued in NV

Practice address

3196 S Maryland Pkwy
Ste. 410
Las Vegas, NV 89109-2305

Phone

(702) 293-0176

Fax

(702) 293-0938

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: esussman117957@edirect.emc.org

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.

• Dr Shetty PLLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1336636521

  Family Medicine

  NPD (past)
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)
• Kingman Healthcare, Inc

  • Specialist
  • Kingman, AZ
  • NPI 1689897787

  Family Medicine

  NPD (past)
• Kingman Healthcare, Inc

  • Community/Retail Pharmacy
  • Kingman, AZ
  • NPI 1992286298
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932294980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W DESERT INN RD",
            "address_2": "STE. 102-254",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174401",
            "telephone_number": "702-293-0176",
            "fax_number": "702-293-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY",
            "address_2": "STE. 410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092305",
            "telephone_number": "702-293-0176",
            "fax_number": "702-293-0938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-346-8555",
            "fax_number": "760-346-8666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "ERNEST",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G68463",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "6328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019147",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA MEDICAL LICENSE",
            "identifier": "6328",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE PHARMACY",
            "identifier": "CS06238",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan R Fernandez PC
• Susan Reisinger, MD Prof. Corp.
• La Donna Susberry
• Meghan Susser
• Alys Chantell Susskind
• Rachel C Sussman, APRN-CNP PMHNP
• Alicia Maylen Sust Duenas
• Gabriela Sustaita
• Jennifer Xitlali Sustaita
• Catherine A. Susterka

• Urology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Urology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.