SUSAN DEDICATORIA MD
NPI 1033912753
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Q: What is Susan Dedicatoria's NPI number?

The NPI number for Susan Dedicatoria is 1033912753. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Q: What is Susan Dedicatoria's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Dedicatoria was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2025PECOS Enrolled

2000 CANAL ST, NEW ORLEANS, LA 70112 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2025, Mar 28, 2025 (2 updates tracked since 2025).

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About Susan Dedicatoria Md NPPES

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

SUSAN DEDICATORIA MD (NPI 1033912753) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1033912753

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSUSAN DEDICATORIACredential: MD

Location Address2000 CANAL STNew Orleans, LA 70112-3018

Mailing Address2000 Canal StNew Orleans, LA 70112-3018 · (757) 694-1688

Sole ProprietorNo

Enumeration DateMarch 28, 2025

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1033912753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2000 CANAL ST, New Orleans, LA 70112

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Secondary Practice Location 1

Location 12000 Canal StNew Orleans, LA 70112-3018 · Phone (757) 694-1688

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Dedicatoria Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MADELINE COZAD M.D.

Family Medicine