SUSAN J DUFFY MD
NPI 1497779342
Pediatrics - Pediatric Emergency Medicine in Providence, RI

Active since July 26, 2006PECOS Enrolled
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903(401) 854-2504(401) 854-2519 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan J Duffy Md NPPES

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

SUSAN J DUFFY MD (NPI 1497779342) is an individual pediatric emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD08890) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497779342
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameSUSAN J DUFFYCredential: MD
Location Address593 EDDY ST, CLAVERICK 2Providence, RI 02903-4923
Mailing AddressPo Box 9484Providence, RI 02940-9484 · (401) 854-2500 · Fax (401) 854-2519
Fax(401) 854-2519
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 17, 2013
NPI 1497779342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in RI · MD08890
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License MD08890 (RI)
593 EDDY ST, Providence, RI 02903

Other Identifiers 9

Medicaid7004958RI
Other12/14/2006RI · Nhpri
Other939025129RI · Medicare Group Number
Medicaid3192067MA
Other007004958RI · Ri Medicare
Other12/29/2008MA · Tufts Health Plan
Other404794RI · Bcb Sri
Medicare UPINE95366RI
Other1497779342RI · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan J Duffy 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.

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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Duffy's NPI number?

The NPI number for Susan Duffy is 1497779342. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Susan Duffy located?

Susan Duffy practices at 593 Eddy St Claverick 2, Providence, RI 02903. The listed phone number is (401) 854-2504.

What is Susan Duffy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Susan Duffy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Duffy was last updated on September 17, 2013. 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.