SUSAN H TANNENBAUM (MD) – Hematology & Oncology Physician, NPI 1447257704

SUSAN H TANNENBAUM (MD) is a healthcare provider. based in West hartford, Connecticut. specializing in MEDICAL ONCOLOGY, HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 041311 (CT). The NPI Number for SUSAN H TANNENBAUM (MD) is 1447257704

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN H TANNENBAUM (MD)
NPI
1447257704
Phone
(860) 523-6421
Address
65 KANE ST
Enumeration Date
1 July 2005
Last Update Date
26 September 2022

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
8606793692
Graduation Year
1978 (48 years ago)
PAC ID
1355484056
Group Practice PAC ID
3678472016
Professional Enrollment ID
I20100203000423
Address ID
CT060300001FA263XXAVEX300

Contacts

Secure Messaging
stannenbaum11025@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

151 MEDICAL ONCOLOGY in CT

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Provider Addresses for SUSAN H TANNENBAUM (MD)

  • 65, Kane Street, West Hartford, Hartford County, Connecticut, 06119, United States

    WEST HARTFORD, CT 061192110

    Phone: (860) 523-6421

    Fax: (860) 523-3701

    Type: Mailing

  • University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States

    FARMINGTON, CT 060300001

    Phone: (860) 679-2100

    Fax: (860) 679-4815

    Type: Location

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: 2010-02-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100203000423IHematology/OncologyCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes24097$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4221$0
99215Established patient office or other outpatient visit, 40-54 minutes3924$0
99205New patient office or other outpatient visit, 60-74 minutes3131$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2412$0
View full utilization report →

Insurance plans in this area (ZIP 06119)

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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: 3678472016View full group profile
NameSpecialtyState
N E U R O S U R G E R YNY
E N D O C R I N O L O G YVA
Orthopedic SurgeryCT
Orthopedic SurgeryCT
Endocrinology, Internal MedicineCT
Critical Care (Intensivists)CT
Hospitalist, Internal MedicineCT
Gynecological OncologyNY
Physician AssistantCT
Hand Surgery, Orthopedic SurgeryCT

Reviews

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Frequently asked questions

What NPI should I save for SUSAN H TANNENBAUM (MD)?
Save NPI 1447257704 if you need a stable reference for SUSAN H TANNENBAUM (MD).
Is SUSAN H TANNENBAUM (MD)'s NPI currently valid?
The extract we use shows SUSAN H TANNENBAUM (MD) as active.
What field does SUSAN H TANNENBAUM (MD) work in?
You can think of SUSAN H TANNENBAUM (MD) as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What location shows for SUSAN H TANNENBAUM (MD)?
We surface West Hartford, Connecticut for SUSAN H TANNENBAUM (MD) based on available NPPES addresses.
How can I contact SUSAN H TANNENBAUM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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