Individual provider Active NPI

Debra Schussheim, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Westport, CT
National Provider Identifier
1982714945
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
040760 Issued in CT
Practice address
225 Main St Ste 201
Westport, CT 06880-3216
Phone
(203) 429-5300
Fax
(203) 221-7708
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 040760 CT Primary

Addresses

Primary practice location

225 Main St Ste 201
Westport, CT 06880-3216

Mailing address

225 Main St Ste 201
Westport, CT 06880-3216
Phone (203) 429-5300

Other identifiers 1

IdentifierTypeStateIssuer
004187466MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040760CTMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: debra.schussheim.1@16244.direct.athenahealth.com
  • Direct secure messaging: debra.schussheim@574165194047492.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1982714945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAIN ST STE 201",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803216",
            "telephone_number": "203-429-5300",
            "fax_number": "203-221-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST STE 201",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803216",
            "telephone_number": "203-429-5300",
            "fax_number": "203-221-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSSHEIM",
        "first_name": "DEBRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CT",
            "license": "040760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004187466",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.