SUSAN P DETWILER MD NPI 1184656290

NPI Information

  • NPI: 1184656290
  • Provider Name: SUSAN P DETWILER, MD
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7110 CAMINITO PEPINO
    LA JOLLA, CA
    ZIP 92037
  • Phone: (858) 539-7300

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NPI Details

Susan P Detwiler, MD is a dermatopathology dermatology in La Jolla, CA with 34 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. Susan P Detwiler, MD NPI is 1184656290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

7110 CAMINITO PEPINO
LA JOLLA, CA
ZIP 92037-721
Phone: (858) 539-7300
Fax: (858) 539-7305

The NPI 1184656290 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 4/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyG75321CALIFORNIANo
2207ND0900XDermatologyDermatopathologyG75321CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LAB25100FMEDICAIDCALIFORNIA
200G753213OTHERCALIFORNIABLUE SHIELD OF CA
3HG75321MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADERMATOLOGY
4G75321MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADERMATOPATHOLOGY
500G753214OTHERCALIFORNIABLUE SHIELD OF CA
6G17383MEDICARE UPINCALIFORNIA
700G753212MEDICAIDCALIFORNIA
8070017499OTHERCALIFORNIAMEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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