Individual provider Active NPI

Susana C Wishnia, M.D.

  • Surgery Physician
  • Newton, MA
National Provider Identifier
1982610226
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
230050 Issued in MA
Practice address
Newton Wellesley Hospital
2014 Washington Street, Green Suite 665
Newton, MA 02462
Phone
(617) 243-3724
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 230050 MA Primary

Addresses

Primary practice location

Newton Wellesley Hospital
2014 Washington Street, Green Suite 665
Newton, MA 02462

Mailing address

2014 Washington St Ste 665
Newton, MA 02462-1699
Phone (617) 243-3724

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
I20110727000022 MA Practitioner - General Surgery 9436327046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Washingotn St
Newton, MA 02462-1650

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Surgery CurrentSince Jun 1, 2012 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Newton-Wellesley Hospital Past Accepting new patients
Chestnut Surgical Associates, PC Surgery Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

2000 Washington St
Ste 665
Newton Lower Falls, MA 02462
Phone (617) 243-2030

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

2000 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Interoperability endpoints

  • Direct secure messaging: wishnia.susana.nwh@direct.partners.masshiway.net

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1982610226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 WASHINGTON ST STE 665",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621699",
            "telephone_number": "617-243-3724",
            "fax_number": "617-243-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEWTON WELLESLEY HOSPITAL",
            "address_2": "2014 WASHINGTON STREET, GREEN SUITE 665",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-243-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHNIA",
        "first_name": "SUSANA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-10-15",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "230050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.