DR. MICHAEL VITTORIO SUSANO M.D.
NPI 1063440105
Psychiatry & Neurology - Psychiatry in Shreveport, LA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
1310 N HEARNE AVE, SHREVEPORT, LA 71107(318) 676-5111 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Vittorio Susano M.d. NPPES

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

DR. MICHAEL VITTORIO SUSANO M.D. (NPI 1063440105) is an individual psychiatry provider in Shreveport, Louisiana, licensed in Louisiana (025874) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2001).

NPPES Registry Identity

NPI1063440105
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MICHAEL VITTORIO SUSANOCredential: M.D.
Location Address1310 N HEARNE AVEShreveport, LA 71107-6516
Mailing Address107 Medical CirSulphur Springs, TX 75482-2138 · (318) 869-2044
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2001
Enumeration DateJune 29, 2006
Last NPPES UpdateMay 19, 2016
NPI 1063440105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in LA · 025874
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1310 N HEARNE AVE, Shreveport, LA 71107

Other Identifiers 3

Medicare ID-Type Unspecified4J878F812LA
Medicaid1041840LA
Medicare UPINI39772LA

Accepted 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

Dr. Michael Vittorio Susano M.d. 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 ID5294768040
PECOS Enrollment IDI20050913000957
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71107 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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.

Case Manager/Care Coordinator
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Pharmacist (Psychiatric)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Social Worker
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Counselor (Addiction (Substance Use Disorder))
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Counselor (Mental Health)
1310 N HEARNE AVE
SHREVEPORT, LA 71107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Susano's NPI number?

The NPI number for Michael Susano is 1063440105. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Michael Susano located?

Michael Susano practices at 1310 N Hearne Ave, Shreveport, LA 71107. The listed phone number is (318) 676-5111.

What is Michael Susano's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Susano enrolled in Medicare?

Yes. Michael Susano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Susano accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Michael Susano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Susano was last updated on May 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.