Amy Blake Susnow, M.D.
NPI 1043246994ActiveIndividual· Medical Genetics, Clinical Genetics (M.D.)· Madison, WI
Medical Genetics, Clinical Genetics (M.D.) (M.D.) in Madison, Wisconsin, trained at University of Vermont College of Medicine (class of 2006). Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1043246994 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 23, 2006 |
| Last updated in NPPES | Jul 3, 2022 |
| Certified by provider | Jul 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Medical Genetics, Clinical Genetics (M.D.) Primary | 207SG0201X | 56132 | WI |
| Medical Genetics, Clinical Genetics (M.D.) | 207SG0201X | DR.0058101 | CO |
| Student in an Organized Health Care Education/Training Program | 390200000X | FE60028232 | WA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (WI) |
|---|
Education and affiliations
| Medical school | University of Vermont College of Medicine |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Pediatric Medicine |
Medical group
- University of Wisconsin Medical Foundation IncMadison, WI · 2,553 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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