MITCHELL SUSSMAN MD
NPI 1427097104
Radiology - Diagnostic Radiology in Urbana, IL

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
611 W. PARK ST., RADIOLOGY, URBANA, IL 61801(217) 383-3270(217) 383-4116 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mitchell Sussman Md NPPES

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

MITCHELL SUSSMAN MD (NPI 1427097104) is an individual diagnostic radiology provider in Urbana, Illinois, licensed in Illinois (036088537) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Albany Medical College Of Union University (1990).

NPPES Registry Identity

NPI1427097104
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMITCHELL SUSSMANCredential: MD
Location Address611 W. PARK ST., RADIOLOGYUrbana, IL 61801
Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6792 · Fax (217) 383-4752
Fax(217) 383-4116
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1990
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 14, 2014
NPI 1427097104 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 IL · 036088537 Licensed in IL · 36088537
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
611 W. PARK ST., Urbana, IL 61801

Other Identifiers 5

Other0533210001IL · Dmerc
Medicare PINR00296IL
Medicaid036088537*3IL
Medicare PINIL3270396IL
Medicare UPING06954

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

Mitchell Sussman Md 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 ID4385627165
PECOS Enrollment IDI20040611000669
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 11

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
182 services182 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
151 services151 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
114 services113 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
95 services92 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
78 services75 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
44 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141316
Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Internal Medicine
611 W. PARK ST., HOSPITALIST
URBANA, IL 61801
Occupational Therapist
611 W. PARK ST.
URBANA, IL 61801
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Internal Medicine (Clinical Cardiac Electrophysiology)
611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801
Obstetrics & Gynecology
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Physician Assistant
611 W. PARK ST.
URBANA, IL 61801
Physician Assistant
611 W. PARK ST., OB/GYN
URBANA, IL 61801

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 Mitchell Sussman's NPI number?

The NPI number for Mitchell Sussman is 1427097104. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Mitchell Sussman located?

Mitchell Sussman practices at 611 W. Park St. Radiology, Urbana, IL 61801. The listed phone number is (217) 383-3270.

What is Mitchell Sussman's specialty?

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

Is Mitchell Sussman enrolled in Medicare?

Yes. Mitchell Sussman 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.

Is Mitchell Sussman affiliated with any hospitals?

According to CMS data, Mitchell Sussman is affiliated with Carle Foundation Hospital and Carle Hoopeston Regional Health Center.

When was this NPI record last updated?

The NPPES record for Mitchell Sussman was last updated on May 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.