Individual provider Active NPI

Susan V Clemens, MD

  • Family Medicine Physician
  • Warwick, RI
National Provider Identifier
1972566396
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD07650 Issued in RI
Practice address
400 Bald Hill Road
Warwick, RI 02886-1617
Phone
(401) 232-7001
Fax
(401) 232-7388
NPI assigned
Apr 7, 2006
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD07650 RI Primary

Addresses

Primary practice location

400 Bald Hill Road
Warwick, RI 02886-1617

Mailing address

400 Bald Hill Rd
Suite 511
Warwick, RI 02886-1617
Phone (401) 737-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20080408000909 RI Practitioner - Family Practice 1850478371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

17 Airport Rd
Warwick, RI 02889-1001
Phone (401) 606-2520

290 Branch Ave
Providence, RI 02904-2713
Phone (401) 722-8880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD07650RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince Sep 1, 2011 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 20, 2020 Accepting new patients
American Current Care P.a. CurrentSince Sep 1, 2011 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 20, 2020 Accepting new patients
D Halpren Ruder Inc Past Accepting new patients
Warwick Urgent Care Partners Past Accepting new patients

Locations

2140 Mendon Rd
Cumberland, RI 02864
Phone (401) 334-9630

1360 W Main Rd
Middletown, RI 02842
Phone (401) 606-3110

290 Branch Ave
Providence, RI 02904
Phone (401) 722-8880

400 Putnam Pike
Smithfield, RI 02917
Phone (401) 232-7001

17 Airport Rd
Warwick, RI 02889
Phone (401) 606-2520

400 Bald Hill Rd
Warwick, RI 02886
Phone (401) 352-0005

400 Bald Hill Rd
Ste 511
Warwick, RI 02886
Phone (401) 737-4420

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1972566396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "SUITE 511",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-737-4420",
            "fax_number": "401-737-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL ROAD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-232-7001",
            "fax_number": "401-232-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "SUSAN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD07650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.