SUSAN LEE DAHLIN (M.D.) – Obstetrics & Gynecology Physician, NPI 1972507754

SUSAN LEE DAHLIN (M.D.) is a healthcare provider. based in Merriam, Kansas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 43382 (MN). The NPI Number for SUSAN LEE DAHLIN (M.D.) is 1972507754

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN LEE DAHLIN (M.D.)
NPI
1972507754
Phone
(913) 676-2433
Address
9100 W 74TH ST
Enumeration Date
9 June 2005
Last Update Date
10 August 2023

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
9136329100
Graduation Year
1997 (29 years ago)
PAC ID
6103872627
Group Practice PAC ID
9537119037
Professional Enrollment ID
I20110921000229
Address ID
KS662042217ME9301XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

382 OBSTETRICS/GYNECOLOGY in KS

Provider Addresses for SUSAN LEE DAHLIN (M.D.)

  • 9100 W 74TH ST

    MERRIAM, KS 662044004

    Phone: (913) 676-2433

    Fax: (913) 789-6700

    Type: Location

  • 6517, Drew Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    EDINA, MN 554352103

    Phone: (952) 806-0011

    Fax: (952) 806-9741

    Type: Mailing

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: 2011-09-21

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
I20110921000229IObstetrics/GynecologyKSTBD

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 66204)

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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: 9537119037View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
Family PracticeNC
Nurse PractitionerKS
-KS
Physician AssistantKS
Nurse PractitionerKS
-KS
Internal MedicineKS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS

Reviews

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Frequently asked questions

Does SUSAN LEE DAHLIN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUSAN LEE DAHLIN (M.D.) uses 1972507754.
Does CMS list SUSAN LEE DAHLIN (M.D.) as active?
Yes — SUSAN LEE DAHLIN (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes SUSAN LEE DAHLIN (M.D.)?
For research purposes, treat SUSAN LEE DAHLIN (M.D.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is SUSAN LEE DAHLIN (M.D.) based?
SUSAN LEE DAHLIN (M.D.) is tied to Merriam, Kansas in the data we show; additional addresses may exist on the full record.
Why does SUSAN LEE DAHLIN (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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NPI: 1316041593