DR. SUSAN H. BUCKNER MD
NPI 1790101525
Pediatrics in Providence, RI

Q: What is Susan Buckner's NPI number?

The NPI number for Susan Buckner is 1790101525. It was assigned to this individual provider in the NPPES registry on March 18, 2014. The provider is also known as Miss Susan Harris MD.

Q: What is Susan Buckner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Buckner was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 18, 2014PECOS Enrolled

355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Apr 29, 2021 (2 updates tracked since 2021).

On this page

About Dr. Susan H. Buckner Md NPPES

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

DR. SUSAN H. BUCKNER MD (NPI 1790101525) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD15043) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790101525

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SUSAN H. BUCKNERCredential: MD

Location Address355 PRAIRIE AVEProvidence, RI 02905-1928

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 467-6866

Phone(401) 444-0570

Fax(401) 444-0427

Sole ProprietorYes

Enumeration DateMarch 18, 2014

Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1790101525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in RI · MD15043✔ Licensed in TN · 48331✔ Licensed in MA · 258441✔ Licensed in TX · H4194

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

355 PRAIRIE AVE, Providence, RI 02905

Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Susan Harris Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan H. Buckner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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.

SORAYA S. P. DARWOOD MD

Family Medicine