Active NPI
Debra Schussheim, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Westport, CT
National Provider Identifier
1982714945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 040760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004187466 | Medicaid | CT |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 040760 | CT | MD | Endocrinology, Diabetes & Metabolism Physician |
Interoperability endpoints
- debra.schussheim.1@16244.direct.athenahealth.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.