SUSUMU INOUE (M.D.) – Pediatric Hematology & Oncology Physician, NPI 1063506335

SUSUMU INOUE (M.D.) is a healthcare provider. based in Flint, Michigan. specializing in Pediatric Hematology & Oncology Physician. They hold the professional credentials M.D.. They hold a License No. 4301032759 (MI). The NPI Number for SUSUMU INOUE (M.D.) is 1063506335

Main info

Male
62 Years Of Experience
Accepts Medicare Assignment
Name
SUSUMU INOUE (M.D.)
NPI
1063506335
Phone
(810) 262-9353
Address
1 HURLEY PLZ
Enumeration Date
3 October 2006
Last Update Date
26 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1964 (62 years ago)
PAC ID
4183964786
Group Practice PAC ID
2961308481
Professional Enrollment ID
I20190318002784
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SUSUMU INOUE (M.D.)

  • 1 HURLEY PLZ

    SON, 5TH FLOOR

    FLINT, MI 485035902

    Phone: (810) 262-9353

    Fax: (810) 760-0440

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-04-07 • Largest payer in this snapshot: PFIZER INC. ($20).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-03-18

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
I20190318002784IPediatric MedicineMITBD

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 48503)

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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: 2961308481View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
-MI
General Surgery, NeurosurgeryMI
-MI
-MI
-MI

Reviews

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Frequently asked questions

Is SUSUMU INOUE (M.D.) listed with a National Provider Identifier?
Yes — SUSUMU INOUE (M.D.) has NPI 1063506335 on file in the registry.
Would SUSUMU INOUE (M.D.) appear as active to a payer?
You can treat SUSUMU INOUE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SUSUMU INOUE (M.D.)?
At a glance, SUSUMU INOUE (M.D.) is tied to Pediatric Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is SUSUMU INOUE (M.D.) associated with Flint?
Public fields place SUSUMU INOUE (M.D.) around Flint, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SUSUMU INOUE (M.D.) is noted as October 3, 2006 where the registry provides it.

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