Susquehanna Ob-Gyn LLC
NPI 1104818871 · Obstetrics & Gynecology Physician · Bel Air, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susquehanna Ob-Gyn LLC is a Obstetrics & Gynecology Physician organization in Bel Air, MD (NPI 1104818871).
Provider details
- NPI number
- 1104818871
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Victoria Dodson, Credentialing Manager(443) 398-0189
- License
- D0033079 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Susquehanna Ob-Gyn LLC's NPI number?
- Susquehanna Ob-Gyn LLC's National Provider Identifier (NPI) is 1104818871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susquehanna Ob-Gyn LLC?
- Susquehanna Ob-Gyn LLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Susquehanna Ob-Gyn LLC located?
- Susquehanna Ob-Gyn LLC's practice location on file with NPPES is 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339.
- What is Susquehanna Ob-Gyn LLC's phone number?
- The practice phone number listed in the NPPES registry for Susquehanna Ob-Gyn LLC is (410) 939-3121.
- Does Susquehanna Ob-Gyn LLC accept Medicare?
- Susquehanna Ob-Gyn LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Susquehanna Ob-Gyn LLC?
- The authorized official listed on Susquehanna Ob-Gyn LLC's NPPES record is Victoria Dodson, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susquehanna Ob-Gyn LLC's NPI active?
- Yes — Susquehanna Ob-Gyn LLC's NPI (1104818871) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.