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SUSAN DENISE GHANI MD
NPI 1639264807
Internal Medicine in Durango, CO

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
575 RIVERGATE UNIT 204, DURANGO, CO 81301(970) 403-1340(970) 403-1341 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Nov 20, 2020 and 1 more (4 updates tracked since 2017).

About Susan Denise Ghani Md NPPES

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

SUSAN DENISE GHANI MD (NPI 1639264807) is an individual internal medicine provider in Durango, Colorado, licensed in Colorado (42057) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Emory University School Of Medicine (2000).

NPPES Registry Identity

NPI1639264807
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSAN DENISE GHANICredential: MD
Location Address575 RIVERGATE UNIT 204Durango, CO 81301-7490
Mailing Address575 Rivergate, Suite 204Durango, CO 81301-7487 · (970) 403-1340 · Fax (970) 403-1341
Phone(970) 403-1340
Fax(970) 403-1341
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2000
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
✔ NPI 1639264807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · 42057
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
575 RIVERGATE UNIT 204, Durango, CO 81301
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Other Names 1

Former Name (1)Susan Denise Neadeau

Other Identifiers 1

Medicaid75385830CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Denise Ghani 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 ID2961497870
PECOS Enrollment IDI20040419001705
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 Ghani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Animas Surgical Hospital, LLC
Same address
Emergency Medicine
575 RIVERGATE
Durango, CO 81301
  • Reassigned Medicare billing, Colorado enrollment
  • 69 clinicians in this Medicare group
NPI 1861721714 (970) 385-2364

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

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
399 services213 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
178 services178 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services72 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
63 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims28 services$6.16 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers11 claims61 services$25.07 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers14 claims14 services$69.50 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers12 claims12 services$19.65 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers19 claims113 services$2.64 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers14 claims14 services$48.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SOUTHWEST COLORADO SPINE AND MUSCULOSKELETAL CENTER, P.C.
Physical Medicine & Rehabilitation
575 RIVERGATE UNIT 204
DURANGO, CO 81301
La Plata County (970) 382-8292
ANIMAS NEUROLOGICAL & SPINE SURGERY PLLC
Neurological Surgery
575 RIVERGATE UNIT 204
DURANGO, CO 81301
La Plata County (970) 382-8292
JOSETTE M MILLER DO
Internal Medicine
575 RIVERGATE UNIT 204
DURANGO, CO 81301
La Plata County (970) 403-1340

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 Ghani's NPI number?

The NPI number for Susan Ghani is 1639264807. It was assigned to this individual provider in the NPPES registry on October 4, 2006. The provider is also known as Susan Denise Neadeau.

Where is Susan Ghani located?

Susan Ghani practices at 575 Rivergate Unit 204, Durango, CO 81301. The listed phone number is (970) 403-1340.

What is Susan Ghani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Ghani enrolled in Medicare?

Yes. Susan Ghani 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.

Which organization bills Medicare for Susan Ghani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ghani reassigns Medicare benefits to Animas Surgical Hospital, LLC (Durango, CO). 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 Ghani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Susan Ghani affiliated with any hospitals?

According to CMS data, Susan Ghani is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Susan Ghani was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.