MICHAEL O SANUSI (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1720019102

MICHAEL O SANUSI (MD) is a healthcare provider. based in Stockbridge, Georgia. specializing in CARDIAC SURGERY. They hold the professional credentials MD. They hold a License No. A54002 (CA). The NPI Number for MICHAEL O SANUSI (MD) is 1720019102

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL O SANUSI (MD)
NPI
1720019102
Phone
(770) 506-7578
Address
557 WINTER VIEW WAY
Enumeration Date
5 July 2006
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3027331980
Graduation Year
1990 (36 years ago)
PAC ID
1850304205
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20250716002975
Address ID
DE197182200NE4755XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Digital endpointsOther names

71 CARDIAC SURGERY in GA

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Provider Addresses for MICHAEL O SANUSI (MD)

  • 557, Winter View Way, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302817799

    Phone: (770) 506-7578

    Type: Mailing

  • 504 Ladson Ct

    Decatur, GA 300335379

    Phone: (470) 493-4267

    Type: Location

  • 504 LADSON CT

    DECATUR, GA 300335379

    Phone: (470) 493-4267

    Type: Mailing

  • 4755 OGLETOWN STANTON ROAD

    SUITE 1E50

    NEWARK, DE 197182200

    Phone: (302) 733-1980

    Fax: (302) 733-1986

    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: 2025-07-16

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
I20060801000320ICardiac SurgeryGATBD
I20250716002975ICardiac SurgeryDETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30281)

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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: 9739097569View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL O SANUSI (MD)'s NPI?
Yes. MICHAEL O SANUSI (MD) is listed with NPI 1720019102 in the public NPI dataset.
Can I rely on MICHAEL O SANUSI (MD) being an active provider?
As of the registry snapshot, MICHAEL O SANUSI (MD) is marked active.
What is MICHAEL O SANUSI (MD)'s primary classification?
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is the headline specialty for MICHAEL O SANUSI (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL O SANUSI (MD)?
MICHAEL O SANUSI (MD)'s geographic hint is Stockbridge, Georgia in our summary view.
Why does MICHAEL O SANUSI (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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