DR. KRISTINA D. SUSON MD
NPI 1508900267
Urology - Pediatric Urology in Detroit, MI

Q: What is Kristina Suson's NPI number?

The NPI number for Kristina Suson is 1508900267. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Kristina Suson's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Suson was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 February 16, 2007PECOS EnrolledAccepts Medicare Assignment

3901 BEAUBIEN ST, PEDIATRIC UROLOGY, DETROIT, MI 48201(313) 745-5588(313) 993-8738 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kristina D. Suson Md NPPES

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

DR. KRISTINA D. SUSON MD (NPI 1508900267) is an individual pediatric urology provider in Detroit, Michigan, licensed in Michigan (4301101703) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Children's Hospital Of Michigan, and is a graduate of University Of Maryland School Of Medicine (2004).

NPPES Registry Identity

NPI1508900267

Entity TypeIndividualFemale

Primary Taxonomy2088P0231X

Provider Legal NameDR. KRISTINA D. SUSONCredential: MD

Location Address3901 BEAUBIEN ST, PEDIATRIC UROLOGYDetroit, MI 48201-2119

Mailing Address3901 Beaubien St, Pediatric UrologyDetroit, MI 48201-2119 · (313) 745-5588 · Fax (313) 993-8738

Phone(313) 745-5588

Fax(313) 993-8738

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2004

Enumeration DateFebruary 16, 2007

Last NPPES UpdateAugust 8, 2012

✔ NPI 1508900267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in MI · 4301101703

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

3901 BEAUBIEN ST, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Kristina D. Suson 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 ID7416105135

PECOS Enrollment IDI20120920000686

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.

Hospital Affiliations CMS Care Compare

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

Children's Hospital Of Michigan

Childrens · Detroit, MI

OwnershipProprietary

CMS Certification Number233300

Location3901 Beaubien StreetDetroit, MI 48201 · Wayne County

Emergency services

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.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)