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SAMUEL WROE SUSSMAN MD
NPI 1881126860
Hospitalist in Renton, WA

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
400 S 43RD ST, RENTON, WA 98055(425) 228-3440(425) 656-4214 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2021, Mar 30, 2017 (2 updates tracked since 2017).

About Samuel Wroe Sussman Md NPPES

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

SAMUEL WROE SUSSMAN MD (NPI 1881126860) is an individual hospitalist provider in Renton, Washington, licensed in Washington (MD61174224) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of University Of Washington School Of Medicine (2017).

NPPES Registry Identity

NPI1881126860
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSAMUEL WROE SUSSMANCredential: MD
Location Address400 S 43RD STRenton, WA 98055-5714
Mailing Address3600 Lind Ave Sw, Suite 100 Attn CredentialingRenton, WA 98057-4970 · (425) 690-2715
Phone(425) 228-3440
Fax(425) 656-4214
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateAugust 30, 20212 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
✔ NPI 1881126860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WA · MD61174224
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD61174224 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
400 S 43RD ST, Renton, WA 98055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Samuel Wroe Sussman 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 ID4385997352
PECOS Enrollment IDI20210903000845
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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
116 services115 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services41 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

CATHERINE A MICKELSON SLP
Speech-Language Pathologist
400 S 43RD ST
RENTON, WA 98055
King County (425) 251-5165
IRENE A BRYANT PT
Physical Therapist
400 S 43RD ST
RENTON, WA 98055
King County (425) 251-5165
JEFFREY C THOMPSON MD
Internal Medicine
400 S 43RD ST, RM 3H-1-053
RENTON, WA 98055
King County (425) 228-3440
AARON TZUPENG FANG M.D.
Hospitalist
400 S 43RD ST
RENTON, WA 98055
King County (425) 228-3440
DR. TORY JOHN OLSEN MD
Student in an Organized Health Care Education/Training Program
400 S 43RD ST
RENTON, WA 98055
King County (425) 656-4224
ANNE B VILLARI PT
Physical Therapist
400 S 43RD ST
RENTON, WA 98055
King County (425) 251-5165
DAN LAM RPH
Pharmacist
400 S 43RD ST
RENTON, WA 98055
King County (425) 251-5164
ANNA L SAMSON STEIN MD
Hospitalist
400 S 43RD ST
RENTON, WA 98055
King County (425) 228-3440

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 Samuel Sussman's NPI number?

The NPI number for Samuel Sussman is 1881126860. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Samuel Sussman located?

Samuel Sussman practices at 400 S 43rd St, Renton, WA 98055. The listed phone number is (425) 228-3440.

What is Samuel Sussman's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Samuel Sussman enrolled in Medicare?

Yes. Samuel Sussman 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.

What insurance does Samuel Sussman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Samuel Sussman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Sussman affiliated with any hospitals?

According to CMS data, Samuel Sussman is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Sussman was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.