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DR. SUSAN RENEE CLANZY M.D.
NPI 1568435634
General Practice in Baltimore, MD

Active since February 09, 2006PECOS Enrolled
1804 W NORTH AVE, BALTIMORE, MD 21217(410) 685-6331(410) 685-6332 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2025, Jun 20, 2016 (2 updates tracked since 2016).

About Dr. Susan Renee Clanzy M.d. NPPES

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

DR. SUSAN RENEE CLANZY M.D. (NPI 1568435634) is an individual general practice provider in Baltimore, Maryland, licensed in Maryland (D0060902) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568435634
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. SUSAN RENEE CLANZYCredential: M.D.
Location Address1804 W NORTH AVEBaltimore, MD 21217-1621
Mailing Address1804 W North AveBaltimore, MD 21217-1621 · (410) 685-6331 · Fax (410) 685-6332
Phone(410) 685-6331
Fax(410) 685-6332
Sole ProprietorYes
Enumeration DateFebruary 9, 2006
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1568435634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MD · D0060902
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1804 W NORTH AVE, Baltimore, MD 21217
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Other Identifiers 1

Medicaid3364208 00MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Renee Clanzy M.d. 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 Clanzy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medspa M.D. LLC
Same address
General Practice
1804 W NORTH AVE
Baltimore, MD 21217
  • Reassigned Medicare billing, Maryland enrollment
NPI 1871848614 (410) 685-6331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%34 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDSPA M.D. LLC
General Practice
1804 W NORTH AVE
BALTIMORE, MD 21217
Baltimore City (410) 685-6331
DR. BERNETTA DAVIS OD, PLLC
Optometrist
1804 W NORTH AVE
BALTIMORE, MD 21217
Baltimore City (410) 523-1224

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 Clanzy's NPI number?

The NPI number for Susan Clanzy is 1568435634. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Susan Clanzy located?

Susan Clanzy practices at 1804 W North Ave, Baltimore, MD 21217. The listed phone number is (410) 685-6331.

What is Susan Clanzy's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Susan Clanzy enrolled in Medicare?

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

Which organization bills Medicare for Susan Clanzy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Clanzy reassigns Medicare benefits to Medspa M.D. LLC (Baltimore, MD). 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 Clanzy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Clanzy was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.