SUSAN ELLEN MOYNIHAN MD
NPI 1912953605
Internal Medicine in Marblehead, MA
About Susan Ellen Moynihan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ELLEN MOYNIHAN MD (NPI 1912953605) is an individual internal medicine provider in Marblehead, Massachusetts, licensed in Massachusetts (52866) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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 Ellen Moynihan 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Moynihan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, MA 01970
- Reassigned Medicare billing, Massachusetts enrollment
- 994 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 4
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 01945 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.
MARBLEHEAD, MA 01945
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 Moynihan's NPI number?
The NPI number for Susan Moynihan is 1912953605. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Susan Moynihan located?
Susan Moynihan practices at 1 Widger Rd Suite 201, Marblehead, MA 01945. The listed phone number is (781) 631-1415.
What is Susan Moynihan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Susan Moynihan enrolled in Medicare?
Yes. Susan Moynihan 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 Moynihan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Moynihan reassigns Medicare benefits to Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA). 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 Moynihan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Moynihan accept?
Health plans from Anthem Blue Cross and Blue Shield list Susan Moynihan 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 Moynihan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Susan Ellen Moynihan, MD · NPI 1912953605
Internal Medicine physician in Marblehead, Massachusetts. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1912953605 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 52866 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 WIDGER RD, SUITE 201, Marblehead, MA 01945
- **Phone:** (781) 631-1415 · **Fax:** (781) 631-5175
## 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:** Mass General Brigham Medical Group Northern Massachusetts Inc (NPI 1588606123, Salem, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Stanford University School Of Medicine, class of 1982
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 6190774 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1912953605) · Data from the CMS NPPES public registry.