DR. SUSAN EG SIMS M.D.
NPI 1306161989
Radiology - Diagnostic Radiology in Salem, MA

Q: What is Susan Sims's NPI number?

The NPI number for Susan Sims is 1306161989. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Q: What is Susan Sims's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Susan Sims was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 07, 2010PECOS EnrolledAccepts Medicare Assignment

81 HIGHLAND AVE, SALEM, MA 01970(978) 354-4420 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2019, Jun 26, 2018, Apr 17, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Susan Eg Sims M.d. NPPES

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

DR. SUSAN EG SIMS M.D. (NPI 1306161989) is an individual diagnostic radiology provider in Salem, Massachusetts, licensed in Massachusetts (278611) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Northwestern University Feinberg Medical School (2010).

NPPES Registry Identity

NPI1306161989

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. SUSAN EG SIMSCredential: M.D.

Location Address81 HIGHLAND AVESalem, MA 01970-2714

Mailing Address81 Highland AveSalem, MA 01970-2714 · (978) 354-4420

Phone(978) 354-4420

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2010

Enumeration DateApril 7, 2010

Last NPPES UpdateJune 13, 20194 updates tracked since enumeration

✔ NPI 1306161989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in MA · 278611✔ Licensed in IL · 036145661

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

81 HIGHLAND AVE, Salem, MA 01970

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan Eg Sims M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991092769

PECOS Enrollment IDI20190620002967, I20230912001799

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.

Areas of Expertise CMS Part B claims 79

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.

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

460 services387 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

422 services422 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

379 services324 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

299 services294 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

288 services273 patients

X-ray of hip, 2-3 views 73502

257 services249 patients

Dxa bone density measurement of hip, pelvis, spine 77080

256 services256 patients

X-ray of knee, 4 or more views 73564

253 services210 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

221 services180 patients

X-ray of foot, minimum of 3 views 73630

215 services178 patients

X-ray of shoulder, minimum of 2 views 73030

211 services180 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

183 services136 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

163 services132 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

160 services136 patients

X-ray of hand, minimum of 3 views 73130

151 services99 patients

X-ray of lower and sacral spine, 2-3 views 72100

146 services146 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

144 services136 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

139 services120 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

101 services91 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

91 services90 patients

X-ray of ankle, minimum of 3 views 73610

90 services84 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

83 services72 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

78 services77 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

76 services76 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

68 services68 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

68 services67 patients

X-ray of wrist, minimum of 3 views 73110

65 services58 patients

Dxa bone density measurement of forearm, finger, hand, or foot 77081

A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.

64 services64 patients

X-ray of knee, 3 views 73562

62 services51 patients

X-ray of ribs on side of body, minimum of 3 views 71101

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

60 services60 patients

Mri scan of leg joint without contrast 73721

60 services59 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

57 services57 patients

Mri scan of arm joint without contrast 73221

53 services52 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

49 services47 patients

X-ray of knee, 1-2 views 73560

49 services42 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

48 services48 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

47 services41 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

45 services43 patients

X-ray of upper spine, 2-3 views 72040

44 services44 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

42 services42 patients

Mri scan of leg without contrast 73718

An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.

39 services36 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

39 services37 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

38 services38 patients

X-ray of pelvis, 1-2 views 72170

37 services37 patients

X-ray of both hips, minimum of 5 views 73523

An X-ray of both hips with a minimum of 5 views is a non-invasive imaging test. It uses a small amount of radiation to produce images of the hip joints from different angles. This aids in diagnosing conditions such as fractures, arthritis, or other hip abnormalities.

37 services37 patients

X-ray of elbow, minimum of 3 views 73080

34 services32 patients

Ct scan of arm without contrast 73200

A CT scan of the arm without contrast is a non-invasive imaging test. It uses X-ray technology to capture detailed images of your arm's structures. It doesn't involve any contrasting dye, hence, minimal preparation is required. It helps in diagnosing injuries or conditions affecting the arm.

33 services32 patients

Mri scan of leg before and after contrast 73720

An MRI scan of the leg involves using a magnetic field and radio waves to create detailed images of the structures within your leg. Initially, images are taken without a contrast agent. Then, a contrast agent is injected into your body to enhance the images, highlighting certain areas for closer examination.

32 services29 patients

X-ray of ribs on side of body, minimum of 3 views 71101

27 services27 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

27 services24 patients

X-ray of upper spine, 4-5 views 72050

24 services24 patients

Ct scan of pelvis without contrast 72192

A CT scan of the pelvis without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your lower abdomen area. It helps in detecting issues like injuries, inflammation, or abnormal growths. It doesn't involve any dye injection.

24 services24 patients

X-ray of sacrum and tailbone, minimum of 2 views 72220

An X-ray of the sacrum and tailbone involves capturing images of these lower spine areas from at least two different angles. This non-invasive procedure helps detect abnormalities or injuries, providing valuable information for accurate diagnosis and treatment.

23 services23 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

23 services23 patients

X-ray of thigh bone, minimum 2 views 73552

23 services23 patients

X-ray of both hips, minimum of 5 views 73523

22 services22 patients

X-ray of middle spine, 2 views 72070

21 services21 patients

X-ray of collar bone 73000

An X-ray of the collar bone is a quick, painless test that produces images of this bone to help diagnose fractures or other abnormalities. The procedure involves a small amount of radiation to capture these images. During the test, you'll be asked to stay still to ensure clear results.

21 services14 patients

X-ray of lower leg, 2 views 73590

21 services20 patients

Dxa bone density measurement of forearm, finger, hand, or foot 77081

21 services21 patients

X-ray of finger, minimum of 2 views 73140

20 services19 patients

X-ray of middle spine, 3 views 72072

An X-ray of the middle spine, with 3 views, is a diagnostic procedure where images are taken from different angles (front, side, and angled) to assess the health of your spine. It helps identify issues like fractures, tumors, or degenerative conditions.

19 services19 patients

X-ray of upper arm, minimum of 2 views 73060

An X-ray of the upper arm with a minimum of 2 views involves capturing images of your arm from different angles. This helps in assessing the bones and surrounding tissues for any abnormalities or injuries. It's a quick, painless procedure.

17 services17 patients

X-ray of toe, minimum of 2 views 73660

An X-ray of the toe with a minimum of 2 views involves capturing images of your toe from different angles. This test helps identify any abnormalities or injuries such as fractures or infections. It's a quick, painless procedure that provides valuable information about your toe's health.

17 services16 patients

Ct scan of leg with contrast material 73701

A CT scan of the leg with contrast material is an imaging procedure. A special dye, the contrast material, is used to highlight certain areas, making them easier to see. This scan helps to detect issues like fractures, infections, or tumors in the leg.

17 services16 patients

Mri scan of lower spinal canal without contrast 72148

16 services16 patients

Mri scan of leg joint before and after contrast 73723

An MRI scan of your leg joint involves using a magnetic field and radio waves to create detailed images of the structures within your joint. This process is done twice, once before and once after a contrast agent is injected. The contrast helps to highlight certain tissues for a clearer picture, aiding in diagnosis.

16 services16 patients

Mri scan of pelvis without contrast 72195

An MRI scan of the pelvis without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed pictures of the lower part of your body. This helps doctors to identify any abnormalities or issues in that area.

15 services15 patients

X-ray of toe, minimum of 2 views 73660

15 services15 patients

X-ray of upper arm, minimum of 2 views 73060

14 services13 patients

Mri scan of arm before and after contrast 73220

An MRI scan of your arm, both before and after contrast, is a non-invasive imaging technique. It captures detailed pictures of structures within your arm. Initially, images are taken without a contrast agent. Then, a safe dye is injected to highlight certain tissues, making them easier to see.

14 services14 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

14 services14 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

13 services13 patients

Ct scan of leg without contrast 73700

13 services12 patients

Mri scan of leg without contrast 73718

13 services13 patients

X-ray of ribs on both sides of body, minimum of 4 views 71111

An X-ray of the ribs on both sides of the body, with a minimum of 4 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the ribs and surrounding structures, helping to diagnose conditions like fractures or lung diseases.

11 services11 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

11 services11 patients

X-ray of joint between lower spine and hip bone, 3 or more views 72202

This procedure involves taking X-ray images of the joint connecting your lower spine and hip bone from three or more angles. It helps in diagnosing conditions like arthritis or fractures. You'll be positioned carefully, and the X-ray machine will capture the images.

11 services11 patients

X-ray of both hips, 3-4 views 73522

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220015

Location30 Locust StreetNorthampton, MA 01060 · Hampshire County

Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Nantucket Cottage Hospital

Acute Care Hospitals · Nantucket, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number220177

Location57 Prospect StreetNantucket, MA 02554 · Nantucket County

Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300018

Location789 Central AveDover, NH 03820 · Strafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHN PATTI MD

Radiology (Diagnostic Radiology)

81 HIGHLAND AVE
SALEM, MA 01970

Essex County (978) 741-1200

SANDEEP MISHRA

Internal Medicine

81 HIGHLAND AVE, DEPT OF MEDICINE ( HOSPITALIST)
SALEM, MA 01970

Essex County (978) 354-4727

MARGARET KILCZEWSKI NP

Registered Nurse

81 HIGHLAND AVE
SALEM, MA 01970

Essex County (978) 354-7685

OLIVIA ANGELICHIO PA

Physician Assistant

81 HIGHLAND AVE
SALEM, MA 01970

Essex County (978) 741-1200

WILFRED R LEWIS M.D.

Anesthesiology

81 HIGHLAND AVE, DEPT. ANESTHESIA,
SALEM, MA 01970

Essex County (978) 354-3384

DR. ANTHONY J GUIDI M.D.

Pathology (Anatomic Pathology)

81 HIGHLAND AVE, PATHOLOGY DEPARTMENT
SALEM, MA 01970

Essex County (978) 354-4161

MS. MEGHAN MARGARET CLEMENTS N.P.

Nurse Practitioner (Family)

81 HIGHLAND AVE
SALEM, MA 01970

Essex County (978) 825-6294

MICHAEL GEORGE BURTON-WILLIAMS MD

Internal Medicine

81 HIGHLAND AVE
SALEM, MA 01970

Essex County (978) 825-7170

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 Sims's NPI number?

The NPI number for Susan Sims is 1306161989. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Susan Sims located?

Susan Sims practices at 81 Highland Ave, Salem, MA 01970. The listed phone number is (978) 354-4420.

What is Susan Sims's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Susan Sims enrolled in Medicare?

Yes. Susan Sims is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Sims accept?

Health plans from WellSense Health Plan list Susan Sims as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Sims affiliated with any hospitals?

According to CMS data, Susan Sims is affiliated with Cooley Dickinson Hospital Inc,the, North Shore Medical Center -, Massachusetts General Hospital, Nantucket Cottage Hospital and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Susan Sims was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.