Eugene Kenneth Sussman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D15927 Issued in MD

Practice address

21 Pebble Ridge Court
Rockville, MD 20854

Phone

(240) 361-8844

Fax

(240) 715-9636

NPI assigned

Apr 3, 2006

Last updated

Oct 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1982666426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PEBBLE RIDGE COURT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "240-361-8844",
            "fax_number": "240-715-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEBBLE RIDGE COURT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "240-361-8844",
            "fax_number": "240-715-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "EUGENE",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D00015927",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D15927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Agarwal Suri, M.D.
• Nancy J. Surig, MD
• Ayralaina Surles
• Susan Partovi D.D.S P.C
• Leon Suskin, LCSW-C
• Christopher Sutton
• Iyonna Sutton
• Jasmine Sutton
• Jonae Sutton
• Katherine Anne Sutton, CRNP

• Pediatrics Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.