DR. SHELLEY BREENE SUSMAN M.D.
NPI 1669435855
Obstetrics & Gynecology in Tarzana, CA
About Dr. Shelley Breene Susman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHELLEY BREENE SUSMAN M.D. (NPI 1669435855) is an individual obstetrics & gynecology provider in Tarzana, California, licensed in California (C41775) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Shelley Breene Susman M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shelley Susman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tarzana, CA 91356
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Shelley Susman MD Inc
Long Beach, CA 90806
- Reassigned Medicare billing, California enrollment
- 191 clinicians in this Medicare group
Greenville, SC 29607
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Obhg California PC
- 711 clinicians in this Medicare group
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TARZANA, CA 91356
TARZANA, CA 91356
TARZANA, CA 91356
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 Shelley Susman's NPI number?
The NPI number for Shelley Susman is 1669435855. It was assigned to this individual provider in the NPPES registry on April 9, 2006.
Where is Shelley Susman located?
Shelley Susman practices at 18370 Burbank Blvd Suite 100, Tarzana, CA 91356. The listed phone number is (818) 757-2222.
What is Shelley Susman's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Shelley Susman enrolled in Medicare?
Yes. Shelley Susman 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 organizations bill Medicare for Shelley Susman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Susman reassigns Medicare benefits to 3 organizations: Shelley Susman, M.D., Inc. (Tarzana, CA), Magella Medical Group, Inc. (Long Beach, CA) and Obhg California, P.C. (Greenville, SC). Each 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 Shelley Susman'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 Shelley Susman was last updated on September 20, 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.
# Dr. Shelley Breene Susman, M.D. · NPI 1669435855
Obstetrics & Gynecology physician in Tarzana, California. Individual provider, active in the CMS NPPES registry since April 9, 2006.
## Identity
- **NPI:** 1669435855 (Entity type: Individual)
- **Enumerated:** April 9, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** C41775 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18370 BURBANK BLVD, SUITE 100, Tarzana, CA 91356-2804
- **Phone:** (818) 757-2222 · **Fax:** (818) 881-7973
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Shelley Susman, M.D., Inc. (NPI 1811240989, Tarzana, CA); Magella Medical Group, Inc. (NPI 1376640086, Long Beach, CA); Obhg California, P.C. (NPI 1215258892, Greenville, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 1982
## Record status
- **NPPES last updated:** September 20, 2012
- **Other identifiers:** Medicare UPIN 72187 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669435855) · Data from the CMS NPPES public registry.