Individual provider Active NPI

Susan Marie Chabot, MD

  • Orthopaedic Surgery Physician
  • Norwood, MA
National Provider Identifier
1942293261
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
58767 Issued in MA
Practice address
825 Washington Street
Suite 240
Norwood, MA 02062-3441
Phone
(781) 769-4660
Fax
(781) 769-0371
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 58767 MA Primary
Specialist 174400000X 58767 MA

Addresses

Primary practice location

825 Washington Street
Suite 240
Norwood, MA 02062-3441

Mailing address

62 Brown St
Suite 507
Haverhill, MA 01830-6778
Phone (781) 769-4660

Other identifiers 5

IdentifierTypeStateIssuer
3095240MedicaidMA
17579OtherMDHARVARD PILGRIM
200012745OtherMARR MEDICARE
058767OtherMATUFTS
J12534OtherMABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20031120000615 MA Practitioner - Orthopedic Surgery 8820992084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58767MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc Specialist CurrentSince May 1, 2015 Accepting new patients
Steward Medical Group, Inc Specialist CurrentSince May 1, 2015 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group Inc. Past Accepting new patients

Locations

77 Warren St
Fl 5
Brighton, MA 02135
Phone (617) 254-3376

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

62 Brown St
Ste 507
Haverhill, MA 01830
Phone (617) 562-5628

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

825 Washington St
Ste 240
Norwood, MA 02062
Phone (508) 668-4376

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: susan.chabot.1@2017.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1942293261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BROWN ST",
            "address_2": "SUITE 507",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306778",
            "telephone_number": "781-769-4660",
            "fax_number": "781-769-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON STREET",
            "address_2": "SUITE 240",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623441",
            "telephone_number": "781-769-4660",
            "fax_number": "781-769-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABOT",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "58767",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "58767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095240",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "17579",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200012745",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "058767",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "J12534",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.