Look up the most recent NPI and PECOS records

Susan Hobbs Burroughs

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710

(703) 391-2020

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN BURROUGHS.

Based on the most recent information from CMS, provider Susan Hobbs Burroughs is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1518951052
Provider Type
Individual
Full Name
Burroughs, Susan Hobbs
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/9/2005
Last Updated
11/27/2023

Contact Information

Practice Location

3650 Joseph Siewick Dr, Ste 400, Fairfax, VA 22033-1710

(703) 391-2020

(703) 391-1211

Mailing Location

PO Box 791128, Baltimore, MD 21279-1128

(703) 391-2020

(703) 391-1211

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0101041758 Virginia

Provider Identifiers

ID	Description	Issuer
ID 080182891	Description Other	Issuer RR MEDICARE
ID 05622450	Description Medicaid	Issuer Unlisted Virginia

Susan Hobbs Burroughs

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Martini, Jennifer Marie

Vasiliadis, Alexa

Sisbarro, Owen Francis

Wilson, Kyler Edward

Patel, Priya

Chen, Ziyan

Silver, Nader Hussein

Linwong, Natnari Natalie

O'Connor, Francis G

Childress, Marc A