SUSAN M MARTODAM (LRD) – Registered Dietitian, NPI 1073531646

Registered Dietitian

SUSAN M MARTODAM (LRD) is a healthcare provider. based in Detroit lakes, Minnesota. specializing in Registered Dietitian. They hold the professional credentials LRD. They hold a License No. 2223 (MN). The NPI Number for SUSAN M MARTODAM (LRD) is 1073531646

Main info

Female

31 Years Of Experience

Accepts Medicare Assignment

Name

SUSAN M MARTODAM (LRD)

NPI

1073531646

Phone

(218) 846-2000

Address

1245 WASHINGTON AVE

Enumeration Date

18 July 2006

Last Update Date

16 September 2008

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2182337578

Graduation Year

1995 (31 years ago)

PAC ID

7517152515

Group Practice PAC ID

4284546151

Professional Enrollment ID

I20101116001123

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

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Provider Addresses for SUSAN M MARTODAM (LRD)

1245, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States
DETROIT LAKES, MN 565013905
Phone: (218) 846-2000
Fax: (701) 234-2045
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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 56501)

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Provider's Procedures

SUSAN M MARTODAM (LRD) performs procedures in Registered Dietitian. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
REGISTERED DIETITIAN OR NUTRITION P	MN	97802	Medical nutrition therapy, assessment and intervention, each 15 minutes	63	13

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: 4284546151View full group profile

Name	Specialty	State
DARSHAN SINGH KHANGURA (M.D.)	-	ND
GERALD G GROSS (MD)	-	ND
JAMES B BUHR (MD)	-	ND
SARAH LYN FEIERABEND (DNP, APRN, CNM)	-	MN
JAMES RESE WOOD (MD)	-	ND
Unknown Individual	-	MN
MRIDU GANDHI (MD)	-	MN
DENNIS E BIER (MD)	-	ND
MARGARET TRAYNOR MICKELSON (MD)	-	ND
PRESTON D STEEN (MD)	-	ND