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DR. SUSAN CARDONA MD
NPI 1194775189
Pediatrics in Newburgh, NY

Active since May 11, 2006PECOS Enrolled
355 GRAND ST, NEWBURGH, NY 12550(845) 616-0578 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Susan Cardona Md NPPES

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

DR. SUSAN CARDONA MD (NPI 1194775189) is an individual pediatrics provider in Newburgh, New York, licensed in New York (232920) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194775189
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN CARDONACredential: MD
Location Address355 GRAND STNewburgh, NY 12550-3613
Mailing Address355 Grand StNewburgh, NY 12550-3613 · (845) 616-0578
Phone(845) 616-0578
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1194775189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 232920
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 232920 (NY)
355 GRAND ST, Newburgh, NY 12550
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Other Identifiers 1

Medicaid02744443NY

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 Cardona 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Susan Cardona reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boston Children's Health Physicians, LLP
31 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100
Brookview Medical Associates, PLLC
69 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Dhhs, Phs, Naihs, Gallup Indian Medical Center
1,905 mi
Public Health, Federal
007 CHOOSGAI DRIVE
Tohatchi, NM 87325
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
NPI 1902875594 (505) 722-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Cardona's NPI number?

The NPI number for Susan Cardona is 1194775189. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Susan Cardona located?

Susan Cardona practices at 355 Grand St, Newburgh, NY 12550. The listed phone number is (845) 616-0578.

What is Susan Cardona's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Cardona enrolled in Medicare?

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

Which organizations bill Medicare for Susan Cardona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Cardona reassigns Medicare benefits to 3 organizations: Boston Children's Health Physicians, LLP (Hawthorne, NY), Brookview Medical Associates, PLLC (Bohemia, NY) and Dhhs, Phs, Naihs, Gallup Indian Medical Center (Tohatchi, NM). Each 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 Cardona'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 Cardona was last updated on June 23, 2022. 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.