SUSAN DAVIS (MD) – Specialist, NPI 1043206568

SUSAN DAVIS (MD) is a healthcare provider. based in East hartford, Connecticut. specializing in Specialist. They hold the professional credentials MD. They hold a License No. 59103 (MA). The NPI Number for SUSAN DAVIS (MD) is 1043206568

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN DAVIS (MD)
NPI
1043206568
Phone
(860) 289-3375
Address
111 FOUNDERS PLZ STE 400
Enumeration Date
20 September 2005
Last Update Date
17 April 2020

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5083502200
Graduation Year
1985 (41 years ago)
PAC ID
6406828854
Group Practice PAC ID
2860688728
Professional Enrollment ID
I20040806001160
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for SUSAN DAVIS (MD)

  • 111 FOUNDERS PLZ STE 400

    EAST HARTFORD, CT 061083240

    Phone: (860) 289-3375

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040806001160IDiagnostic RadiologyMATBD
I20201104002164IDiagnostic RadiologyCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml93011$0
71046X-ray of chest, 2 views653501$0
77080Dxa bone density measurement of hip, pelvis, spine204204$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers194136$0
76770Complete ultrasound scan behind abdominal cavity10699$0
View full utilization report →

Insurance plans in this area (ZIP 06108)

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Provider's Procedures

SUSAN DAVIS (MD) performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL PRACTICEMA71250CT scan chest6262

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860688728View full group profile

Reviews

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Frequently asked questions

Where can patients find SUSAN DAVIS (MD)'s NPI?
You can confirm SUSAN DAVIS (MD) with NPI 1043206568; it appears in the national provider directory.
Is SUSAN DAVIS (MD) active in the national directory?
SUSAN DAVIS (MD)'s public NPI profile is in an active state.
Does SUSAN DAVIS (MD) list a primary specialty?
If you are matching referrals, note Other Service Providers for SUSAN DAVIS (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for SUSAN DAVIS (MD)?
The page summarizes East Hartford, Connecticut for SUSAN DAVIS (MD); expand the address list for detail.
How can I contact SUSAN DAVIS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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