DR. SUSAN J LINDEMULDER (MD) – Pediatric Hematology & Oncology Physician, NPI 1770506131

DR. SUSAN J LINDEMULDER (MD) is a healthcare provider. based in Portland, Oregon. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD28659 (OR). The NPI Number for DR. SUSAN J LINDEMULDER (MD) is 1770506131

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN J LINDEMULDER (MD)
NPI
1770506131
Phone
(503) 418-5456
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
26 July 2006
Last Update Date
4 April 2013

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY WOMANS MEDICAL SCHOOL
Secondary Phone
5034944808
Graduation Year
2000 (26 years ago)
PAC ID
2567467087
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20081126000077
Address ID
OR973013975SA875XXSEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

298 PEDIATRIC MEDICINE in OR

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Provider Addresses for DR. SUSAN J LINDEMULDER (MD)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone: (503) 418-5456

    Fax: (503) 494-0714

    Type: Location

  • 8385, Southwest 24th Avenue, Capitol Hill, Multnomah, Portland, Multnomah County, Oregon, 97219, United States

    PORTLAND, OR 972193903

    Phone: (303) 913-9146

    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: 2008-11-26

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
I20081126000077IPediatric MedicineORTBD

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 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. SUSAN J LINDEMULDER (MD)?
For DR. SUSAN J LINDEMULDER (MD), use NPI 1770506131 as the unique 10-digit identifier.
Would DR. SUSAN J LINDEMULDER (MD) appear as active to a payer?
You can treat DR. SUSAN J LINDEMULDER (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. SUSAN J LINDEMULDER (MD)'s focus?
For DR. SUSAN J LINDEMULDER (MD), the primary taxonomy reads as Pediatric Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SUSAN J LINDEMULDER (MD) associated with Portland?
Public fields place DR. SUSAN J LINDEMULDER (MD) around Portland, Oregon. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.