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SUSAN M MOORE-RIESBECK DO
NPI 1174178701
Family Medicine - Geriatric Medicine in Elkhart, IN

Active since August 09, 2019
28070 COUNTY ROAD 24, ELKHART, IN 46517(574) 273-8053(574) 273-8056 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2019, Aug 9, 2019 (2 updates tracked since 2019).

About Susan M Moore-riesbeck Do NPPES

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

SUSAN M MOORE-RIESBECK DO (NPI 1174178701) is a healthcare organization registered as a geriatric medicine in Elkhart, Indiana and active in the NPI registry since August 2019. The organization lists David Riesbeck, Accountant, as its authorized official.

NPPES Registry Identity

NPI1174178701
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSMR SERVICES LLC
Location Address28070 COUNTY ROAD 24Elkhart, IN 46517-9717
Mailing AddressPo Box 175Granger, IN 46530-0175 · (574) 273-8053 · Fax (574) 273-8056
Phone(574) 273-8053
Fax(574) 273-8056
Organization SubpartNo
Authorized OfficialDavid RiesbeckAccountant · (574) 993-4464
Enumeration DateAugust 9, 2019
Last NPPES UpdateNovember 7, 20192 updates tracked since enumeration
✔ NPI 1174178701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
28070 COUNTY ROAD 24, Elkhart, IN 46517
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Other Names 1

Doing Business AsSusan M Moore-riesbeck Do

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan M Moore-riesbeck Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Susan M Moore-Riesbeck Do, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Moore Riesbeck, D.O.
Geriatric Medicine
NPI 1215090378
28070 COUNTY ROAD 24
Elkhart, IN 46517
(574) 273-8053
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Smr Services LLC's NPI number?

The NPI number for Smr Services LLC is 1174178701. It was assigned to this organization in the NPPES registry on August 9, 2019. The provider is doing business as Susan M Moore-Riesbeck Do.

Where is Smr Services LLC located?

Smr Services LLC is located at 28070 County Road 24, Elkhart, IN 46517. The listed phone number is (574) 273-8053.

What is Smr Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Smr Services LLC enrolled in Medicare?

Yes. Smr Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Smr Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Smr Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Smr Services LLC was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.