Individual provider Active NPI

Susanne Garay, FNP

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1952867905
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704249041 Issued in MI
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190319000680 MI Practitioner - Nurse Practitioner 9739429358 Reassigns benefits to 6 organizations

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
Innovation Medicine PLLCGroup PAC ID 9537446497, 7 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

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

OrganizationSpecialtyStatusNew patients
Traveling Physician Services PC Nurse Practitioner CurrentSince Jun 2, 2025 Accepting new patients
Innovation Medicine, PLLC CurrentSince Nov 11, 2019 Accepting new patients
Awc Services PC Nurse Practitioner CurrentSince Jun 11, 2025 Accepting new patients
Integrated Visiting Physician Solutions PC CurrentSince Feb 1, 2019 Accepting new patients
Ivps Wound Care PLLC Nurse Practitioner CurrentSince May 15, 2024 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.

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": "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

Verify at the official NPI Registry.