Individual provider Active NPI

Susan Sung, MD

  • Diagnostic Radiology Physician
  • Appleton, WI
National Provider Identifier
1942425590
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
50304 Issued in WI
Practice address
424 E Wisconsin Ave
Appleton, WI 54911-4860
Phone
(920) 739-5642
Fax
(920) 968-0259
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 50304 WI Primary

Addresses

Primary practice location

424 E Wisconsin Ave
Appleton, WI 54911-4860

Mailing address

424 E Wisconsin Ave
Appleton, WI 54911-4860
Phone (920) 739-5642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070714000125 WI Practitioner - Diagnostic Radiology 5698875003 Reassigns benefits to 4 organizations
I20250701003871 MI Practitioner - Diagnostic Radiology 5698875003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology CharteredGroup PAC ID 1557394988, 39 clinicians
Radiology Associates of Appleton SCGroup PAC ID 6002851862, 31 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians

Practice addresses (Care Compare)

Marquette, MI 49855
Phone (920) 499-2766

100 County Rd B
Shawano, WI 54166-7072
Phone (920) 358-1520

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

1789 Shawano Ave
Green Bay, WI 54303-3243
Phone (920) 499-1428

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 358-1520

527 E Wisconsin Ave
Neenah, WI 54956-2966
Phone (920) 358-1520

5471 W Waterford LN
Appleton, WI 54913-8510
Phone (920) 358-1520

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Thedacare Medical Center - Berlin Inc Hospital, Berlin, WI, CCN 521355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50304WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Chartered Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Apr 23, 2025 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Apr 23, 2025 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince Jul 1, 2007 Accepting new patients
Thedacare, Incorporated CurrentSince Jun 1, 2017 Accepting new patients
Radiology Associates of Appleton, S.C. PastSince Mar 26, 2023 Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

720 S Van Buren St
Ste 101
Green Bay, WI 54301
Phone (920) 430-8120

1789 Shawano Ave
Green Bay, WI 54303

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488

Organizations & group practices 6

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1942425590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114860",
            "telephone_number": "920-739-5642",
            "fax_number": "920-968-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114860",
            "telephone_number": "920-739-5642",
            "fax_number": "920-968-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "50304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.