1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Radiology
  6. NPI Profile

SUSAN J BACK M.D.
NPI 1902936669
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY, PHILADELPHIA, PA 19104(215) 590-7000(215) 590-9348 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan J Back M.d. NPPES

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

SUSAN J BACK M.D. (NPI 1902936669) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD429646) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2004).

NPPES Registry Identity

NPI1902936669
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUSAN J BACKCredential: M.D.
Location Address3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGYPhiladelphia, PA 19104-4319
Mailing Address100 E Penn Sq, 9th FloorPhiladelphia, PA 19107-3323 · (267) 425-9234 · Fax (267) 425-9299
Phone(215) 590-7000
Fax(215) 590-9348
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2004
Enumeration DateMarch 6, 2007
Last NPPES UpdateMay 30, 2013
✔ NPI 1902936669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · MD429646
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedPediatricsTaxonomy 208000000X · License MD429646 (PA)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License MD429646 (PA)
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License MT184561 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Susan J Back 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.

PECOS PAC ID1254432800
PECOS Enrollment IDI20140813000177
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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Back's NPI number?

The NPI number for Susan Back is 1902936669. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Susan Back located?

Susan Back practices at 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Radiology, Philadelphia, PA 19104. The listed phone number is (215) 590-7000.

What is Susan Back's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Susan Back enrolled in Medicare?

Yes. Susan Back 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 Susan Back accept?

Health plans from CareSource list Susan Back 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.

When was this NPI record last updated?

The NPPES record for Susan Back was last updated on May 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.