DR. SUZANNE ELLEN ENLOE-WHITAKER (DO) – Rheumatology Physician, NPI 1720058415
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
758 RHEUMATOLOGY in CA
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Provider Addresses for DR. SUZANNE ELLEN ENLOE-WHITAKER (DO)
1700, North Waterman Avenue, San Bernardino, San Bernardino County, California, 92404, United States
SAN BERNARDINO, CA 924045105
Phone: (909) 883-8611
Fax: (909) 886-1798
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $345.
Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($245).
Total Amount
$345
General + Research + Ownership
Payments
3
Total payment records
General Amount
$345
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $245 |
| Janssen Biotech, Inc. | $100 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050803000512 | I | Rheumatology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 2,760 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 281 | 168 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 92 | 19 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 88 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 58 | $0 |
Insurance plans in this area (ZIP 92404)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | CA | 83036 | Hemoglobin A1C level | 48 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| U R O L O G Y | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA |
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