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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN GROVER COLASURDO MD
NPI 1376602292
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since December 06, 2006PECOS Enrolled
1500 SW 5TH AVE UNIT 806, PORTLAND, OR 97201(541) 913-8643(541) 366-4451 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan Grover Colasurdo Md NPPES

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

SUSAN GROVER COLASURDO MD (NPI 1376602292) is an individual child & adolescent psychiatry provider in Portland, Oregon, licensed in Oregon (MD14419) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eugene.

NPPES Registry Identity

NPI1376602292
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSUSAN GROVER COLASURDOCredential: MD
Location Address1500 SW 5TH AVE UNIT 806Portland, OR 97201-5422
Mailing Address1500 Sw 5th Ave Unit 806Portland, OR 97201-5422 · (541) 653-9619 · Fax (541) 366-4451
Phone(541) 913-8643
Fax(541) 366-4451
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1376602292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in OR · MD14419
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1500 SW 5TH AVE UNIT 806, Portland, OR 97201
Open in Google Maps ↗

Secondary Practice Location 1

Location 174B Centennial Loop Ste 100Eugene, OR 97401-7919 · Phone (503) 346-1640

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Grover Colasurdo 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 Reassignment

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

University Professional Services
0.6 mi
Mental Health (Including Community Mental Health Center)
2525 SW FIRST AVE STE 1215
Portland, OR 97201
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1316354970 (503) 494-4745

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 Susan Colasurdo's NPI number?

The NPI number for Susan Colasurdo is 1376602292. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Susan Colasurdo located?

Susan Colasurdo practices at 1500 SW 5th Ave Unit 806, Portland, OR 97201. The listed phone number is (541) 913-8643.

What is Susan Colasurdo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Susan Colasurdo enrolled in Medicare?

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

Which organization bills Medicare for Susan Colasurdo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Colasurdo reassigns Medicare benefits to University Professional Services (Portland, OR). 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 Colasurdo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Colasurdo accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Susan Colasurdo 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.

When was this NPI record last updated?

The NPPES record for Susan Colasurdo was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.