DR. SUSAN MICHELE COWLEY DO NPI 1164554945

Internal Medicine (Pulmonary Disease) in Cambridge, MA

NPI 1164554945 Individual Female Years of Experience 18 Internal Medicine Pulmonary Disease PECOS Enrolled Accepts Medicare Approved Payment

About SUSAN COWLEY

Susan Cowley is an internal medicine provider established in Cambridge, Massachusetts and her medical specialization is internal medicine (pulmonary disease) with more than 18 years of experience. She graduated from University Of New England, College Of Osteo Medicine in 2004. The NPI number of Susan Cowley is 1164554945 and was assigned on March 2007. The practitioner's primary taxonomy code is 207RP1001X with license number 232098 (MA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

An internist like Dr. Susan Michele Cowley Do is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Susan Cowley is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Susan Cowley is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Mount Auburn Hospital.

NPI

1164554945

Provider NameDR. SUSAN MICHELE COWLEY DO
Provider Location Address330 MOUNT AUBURN ST CAMBRIDGE, MA 02138
Provider Mailing Address38 SUMMER ST WEST ROXBURY, MA 02132
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year2004
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-09-2007
Last Update Date12-18-2019


Primary Taxonomy

Taxonomy Code207RP1001X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPulmonary Disease
License No.232098
License StateMA
Taxonomy DescriptionAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Business Address

DR. SUSAN MICHELE COWLEY DO
330 MOUNT AUBURN ST
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 492-3500

Get Directions


Mailing Address

DR. SUSAN MICHELE COWLEY DO
38 SUMMER ST
WEST ROXBURY, MA
ZIP 02132
Phone: (617) 875-5387



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID749373116
PECOS Enrollment IDI20070831000102
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 17Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Susan Cowley is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MOUNT AUBURN HOSPITAL330 MOUNT AUBURN STREET
CAMBRIDGE, MA 2138
(617) 492-3500Acute Care Hospitals220002

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine232098MANo

Taxonomy Description: an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000200302OTHER (01)MA
110077106AMEDICAID (05)MA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407859762DR. SUSAN A ABOOKIRE MD
Individual
Internal Medicine330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 575-8603
1992707269DR. DAVID L HUDACEK MD
Individual
Internal Medicine330 MOUNT AUBURN ST HOSPITALIST SERVICES
CAMBRIDGE, MA 02138
(617) 499-5112
1487656617DR. JANINE M MCCAULEY MD
Individual
Internal Medicine330 MOUNT AUBURN ST HOSPITALIST SERVICES
CAMBRIDGE, MA 02138
(617) 499-5112
1558363770DR. DANIEL C METRICK MD
Individual
Internal Medicine330 MOUNT AUBURN ST HOSPITALIST SERVICES
CAMBRIDGE, MA 02138
(617) 499-5112
1760484976DR. JOSEPH S WONG MD
Individual
Internal Medicine330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 499-5112
1689670259MOUNT AUBURN HOSPITAL
Organization
General Acute Care Hospital330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 492-3500
1518967785DR. LINDA POWERS MD
Individual
Internal Medicine330 MOUNT AUBURN ST PRIMARY CARE CENTER
CAMBRIDGE, MA 02138
(617) 499-5055
1184624488 MATTHEW CARMODY MD
Individual
Internal Medicine330 MOUNT AUBURN ST PRIMARY CARE CENTER
CAMBRIDGE, MA 02138
(617) 499-5055
1780686154DR. VITO IACOVIELLO MD
Individual
Internal Medicine (Infectious Disease)330 MOUNT AUBURN ST SOUTH 2
CAMBRIDGE, MA 02138
(617) 499-5026
1285636654DR. LIN CHEN MD
Individual
Internal Medicine (Infectious Disease)330 MOUNT AUBURN ST SOUTH 2
CAMBRIDGE, MA 02138
(617) 499-5026
1578565974DR. JOHN TULLY MD
Individual
Internal Medicine (Infectious Disease)330 MOUNT AUBURN ST SOUTH 2
CAMBRIDGE, MA 02138
(617) 499-5026
1144222522DR. ROBERT COLGROVE MD
Individual
Internal Medicine (Infectious Disease)330 MOUNT AUBURN ST SOUTH 2
CAMBRIDGE, MA 02138
(617) 499-5026
1780678144DR. GREGG FINE MD
Individual
Internal Medicine330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 499-5112
1164416541DR. DAVID BINDER MD
Individual
Emergency Medicine330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 499-5025
1154315539DR. JASON IMPERATO MD
Individual
Emergency Medicine330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 499-5025
1326032707DR. JEFFREY EVANS MD
Individual
Emergency Medicine330 MOUNT AUBURN ST EMERGENCY DEPARTMENT
CAMBRIDGE, MA 02138
(617) 499-5617
1437143823 CYNTHIA MCGINN MD
Individual
Emergency Medicine330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 499-5025
1306830781DR. ARSHAD KHAN MD
Individual
Emergency Medicine330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 499-5025
1114911013DR. TODD THOMSEN MD
Individual
Emergency Medicine330 MOUNT AUBURN ST EMERGENCY DEPT
CAMBRIDGE, MA 02138
(617) 499-5025
1740274620DR. JUSTYNA NOTARGIACOMO MD
Individual
Emergency Medicine330 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
(617) 499-5025

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.