SUSAN EDLIBI (M.D.) – Allergy & Immunology (Internal Medicine) Physician, NPI 1255825501

SUSAN EDLIBI (M.D.) is a healthcare provider. based in Royal oak, Michigan. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301114536 (MI). The NPI Number for SUSAN EDLIBI (M.D.) is 1255825501

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN EDLIBI (M.D.)
NPI
1255825501
Phone
(248) 551-3000
Address
3601 W 13 MILE RD
Enumeration Date
20 June 2018
Last Update Date
30 June 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2483633232
Graduation Year
2018 (8 years ago)
PAC ID
5597285775
Group Practice PAC ID
9931279692
Professional Enrollment ID
I20250218002242
Address ID
MI483345029FA27655RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

177 ALLERGY/IMMUNOLOGY in MI

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Provider Addresses for SUSAN EDLIBI (M.D.)

  • Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States

    ROYAL OAK, MI 480736712

    Phone: (248) 551-3000

    Fax: (248) 551-2092

    Type: Mailing

  • 2799 W GRAND BLVD

    DETROIT, MI 482022689

    Phone: (313) 916-4988

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $2,891.

Total Amount is formed as General ($2,891) + Research ($0) + Ownership ($0) = $2,891.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($777).

Total Amount

$2,891

General + Research + Ownership

Payments

46

Total payment records

General Amount

$2,891

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2025-02-18

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
I20250218002242IAllergy/ImmunologyMITBD

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 48073)

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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: 9931279692View full group profile
NameSpecialtyState
Allergy/Immunology, Pediatric MedicineMI

Reviews

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Frequently asked questions

Is SUSAN EDLIBI (M.D.) listed with a National Provider Identifier?
Yes — SUSAN EDLIBI (M.D.) has NPI 1255825501 on file in the registry.
Is SUSAN EDLIBI (M.D.) shown as active in public data?
Registry records indicate SUSAN EDLIBI (M.D.) maintains an active NPI.
What area of care is associated with SUSAN EDLIBI (M.D.)?
SUSAN EDLIBI (M.D.)'s record emphasizes Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is SUSAN EDLIBI (M.D.) associated with Royal Oak?
Public fields place SUSAN EDLIBI (M.D.) around Royal Oak, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SUSAN EDLIBI (M.D.) is noted as June 20, 2018 where the registry provides it.

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