Dr. Susan Marie Krizek, M.D.
Internal Medicine in Raleigh, NC. Individual provider (NPI-1).
NPI number1194715664
StatusActive
Last updated in NPPESSep 27, 2017
Details
- NPI
- 1194715664
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Marie Krizek
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Last updated
- Sep 27, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 201500393 | NC | Yes |
| 207R00000X | Internal Medicine | G88138 | CA |
Practice location
11200 Governor Manly Way Ste 205Raleigh, NC 27614-7367
Phone 919-570-7700
Mailing address
11200 Governor Manly Way Ste 205Raleigh, NC 27614-7367
Is something wrong?
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