SUSAN G FLORES MD
NPI 1225005457
Internal Medicine in Cleveland, OH
NPI Status: Active since March 07, 2006
Contact Information
1730 W 25TH ST
MAIN FLOOR
CLEVELAND, OH
ZIP 44113
Phone: (216) 363-2353
Fax: (216) 696-7375
- Individual
- Female
- Internal Medicine
- Accepts Insurance
- Medicare Quality Reporting
About SUSAN FLORES
This page provides the complete NPI Profile along with additional information for Susan Flores, an internist established in Cleveland, Ohio with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1225005457 assigned on March 2006. The practitioner's primary taxonomy code is 207R00000X with license number 35044831F (OH). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1225005457
- Provider Name
- SUSAN G FLORES MD
- Other Name
- MRS. SUSAN GUMABAO-FLORES MD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1730 W 25TH ST MAIN FLOOR CLEVELAND, OH 44113
- Location Phone
- (216) 363-2353
- Location Fax
- (216) 696-7375
- Mailing Address
- 20525 CENTER RIDGE RD STE 220 ROCKY RIVER, OH 44116
- Mailing Phone
- (440) 895-5056
- Mailing Fax
- (216) 696-7375
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-07-2006
- Last Update Date
- 05-27-2008
- Code Navigator
An internist like Susan Flores 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.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35044831F
- License State
- OH
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3610861 | OTHER (01) | GROUP ASC MEDICARE | |
| 0739305 | MEDICARE PIN (08) | OH | |
| F44831 | OTHER (01) | SUMMACARE APEX | |
| 0637236 | OTHER (01) | AETNA | |
| 341783789066 | OTHER (01) | CARESOURCE | |
| CA4511 | OTHER (01) | RR MEDICARE GROUP | |
| 000000184291 | OTHER (01) | ANTHEM | |
| 0119204 | OTHER (01) | GROUP MEDICAID | |
| 102422 | OTHER (01) | KAISER | |
| 10792405 | OTHER (01) | CAQH | |
| 110213695 | OTHER (01) | RR MEDICARE INDIVIDUAL | |
| 9273172 | OTHER (01) | GROUP MEDICARE | |
| CA4511 | OTHER (01) | RR GROUP MEDICARE | |
| F56009 | MEDICARE UPIN (02) | ||
| 0799711 | MEDICAID (05) | OH | |
| D368301 | OTHER (01) | GROUP IND DIAGNOSTICS MED | |
| 1780634279 | OTHER (01) | GROUP NPI | |
| 34-1783789 | OTHER (01) | GROUP TIN |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 155 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225005457, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 43 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CLEVELAND, OH 44113
CLEVELAND, OH 44113
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225005457, enumerated as an "individual" on March 07, 2006.
The provider is located at 1730 W 25TH ST MAIN FLOOR CLEVELAND, OH 44113 and the phone number is (216) 363-2353.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: CareSource, Medicare, Medicaid, Aetna, Railroad. Please consult your insurance carrier or call the provider to verify.
