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DR. SUSAN BANUELOS M.D.
NPI 1194136275
General Acute Care Hospital in Bronx, NY

Active since May 12, 2014PECOS Enrolled
234 E 149TH ST, BRONX, NY 10451(562) 304-0196 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Susan Banuelos M.d. NPPES

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

DR. SUSAN BANUELOS M.D. (NPI 1194136275) is an individual general acute care hospital provider in Bronx, New York and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194136275
Entity TypeIndividualFemale
Primary Taxonomy282N00000X
Provider Legal NameDR. SUSAN BANUELOSCredential: M.D.
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address234 E 149th StBronx, NY 10451-5504 · (562) 304-0196
Phone(562) 304-0196
Sole ProprietorYes
Enumeration DateMay 12, 2014
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1194136275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
234 E 149TH ST, Bronx, NY 10451
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Banuelos M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Banuelos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,431 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

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. THOMAS HENRY PARRY M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-6010
MAIRA FONSECA
Dermatology
234 E 149TH ST
BRONX, NY 10451
Bronx County (212) 639-3210
DR. RO GONSALVES M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JONATHAN V LI MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
ZULEYKA A GRULLON LCSW
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JOSHUA RONALD GRAVEL MD, MSC
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
REBEKAH SNITKOFF
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
MR. CARLOS ESTEBAN NARVAEZ MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000

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 Susan Banuelos's NPI number?

The NPI number for Susan Banuelos is 1194136275. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Susan Banuelos located?

Susan Banuelos practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (562) 304-0196.

What is Susan Banuelos's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Susan Banuelos enrolled in Medicare?

Yes. Susan Banuelos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Banuelos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Banuelos reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Susan Banuelos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Banuelos was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.