SUSAN C CONRAD MD NPI 1265667901

NPI Information

NPI: 1265667901
Provider Name: SUSAN C CONRAD, MD
Classification: Psychiatry & Neurology - 2084N0402X
Specialization: Neurology with Special Qualifications in Child Neurology
Entity Type: Individual
PECOS Registration: Yes
Address: 8414 NAAB RD
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-1600

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NPI Details

Susan C Conrad, MD is a neurology with special qualifications in child neurology psychiatry neurology in Indianapolis, IN. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Susan C Conrad, MD NPI is 1265667901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8414 NAAB RD
INDIANAPOLIS, IN
ZIP 46260-972
Phone: (317) 338-1600

The NPI 1265667901 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 enumeration date for this NPI number is 5/26/2009 and was last updated on 10/8/2024.

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
1	208000000X	Pediatrics		01071294A	INDIANA	No
2	2084E0001X	Psychiatry & Neurology	Epilepsy	01071294A	INDIANA	No
3	390200000X	Student in an Organized Health Care Education/Training Program			INDIANA	No
4	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	01071294A	INDIANA	Yes

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
1	1102417813	OTHER	INDIANA	ANTHEM PTAN
2	201109650	MEDICAID	INDIANA
3	000001083944	OTHER	INDIANA	ANTHEM PTAN

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

NPI Synchronization or Removal

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