SUSAN THERESA IANNACCONE MD
NPI 1023078607
Psychiatry & Neurology - Neurology in Dallas, TX

Q: What is Susan Iannaccone's NPI number?

The NPI number for Susan Iannaccone is 1023078607. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Susan Iannaccone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Susan Iannaccone was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment

5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 456-2768(214) 456-6898 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Theresa Iannaccone Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN THERESA IANNACCONE MD (NPI 1023078607) is an individual neurology provider in Dallas, Texas, licensed in Texas (H8691) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1969).

NPPES Registry Identity

NPI1023078607

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameSUSAN THERESA IANNACCONECredential: MD

Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7208

Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 456-2768 · Fax (214) 456-6898

Phone(214) 456-2768

Fax(214) 456-6898

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1969

Enumeration DateMarch 27, 2006

Last NPPES UpdateApril 26, 2024

NPPES CertifiedApril 26, 2024

✔ NPI 1023078607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in TX · H8691

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License H8691 (TX)

5323 HARRY HINES BOULEVARD, Dallas, TX 75390

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Other Identifiers 1

Medicaid105947903TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Theresa Iannaccone Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264497767

PECOS Enrollment IDI20041123001280

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDEEP GUTTIKONDA MD

Emergency Medicine