Active NPI
Susanne Garay, FNP
- Family Nurse Practitioner
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704249041
- Practice address
- 18000 W 9 Mile Rd Ste 525
Southfield, MI 48075-4080 - Phone
- (248) 327-6196
- Fax
- (248) 327-6356
- NPI assigned
- Feb 14, 2019
- Last updated
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704249041 | MI | Primary |
Addresses
Primary practice location
18000 W 9 Mile Rd Ste 525
Southfield, MI 48075-4080
Mailing address
21650 W 11 Mile Rd Ste 202
Southfield, MI 48076-3777
Phone (248) 327-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22101 Moross Rd
FL 6
Detroit, MI 48236-2148
Phone (313) 343-7560
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traveling Physician Services PC | Nurse Practitioner | Current | Accepting new patients |
| Innovation Medicine, PLLC | Current | Accepting new patients | |
| Awc Services PC | Nurse Practitioner | Current | Accepting new patients |
| Integrated Visiting Physician Solutions PC | Current | Accepting new patients | |
| Ivps Wound Care PLLC | Nurse Practitioner | Current | Accepting new patients |
| Integrated Physician Solutions PC | Past | Accepting new patients |
Locations
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
22101 Moross Rd
Fl 6
Detroit, MI 48236
Phone (248) 362-2300
25710 Kelly Rd
Ste 1
Roseville, MI 48066
Phone (586) 772-2600
18000 W 9 Mile Rd
Ste 525
Southfield, MI 48075
Phone (248) 327-6195
21650 W 11 Mile Rd
Ste 202
Southfield, MI 48076
Phone (248) 327-6196
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Roseville, MI
- NPI 1720511405
-
- Multi-Specialty Clinic/Center
- Southfield, MI
- NPI 1891109641
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1366337826
Nurse Practitioner
-
- Family Medicine Physician
- Royal Oak, MI
- NPI 1578334058
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Home Health Agency
- Southfield, MI
- NPI 1992110662
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Divinity Home Care
- Home Health Agency
- Clinton TWP, MI
- NPI 1841488129
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1952867905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21650 W 11 MILE RD STE 202",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763777",
"telephone_number": "248-327-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD STE 525",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754080",
"telephone_number": "248-327-6196",
"fax_number": "248-327-6356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAY",
"first_name": "SUSANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704249041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.