SUZANNE B. CASSIDY, MD — NPI 1043328115 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1043328115

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207SG0201X (CMS D3)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Clinical Genetics

Box 32 Service Location & ZIP+4

2900 FRESNO ST, SUITE 101, FRESNO, CA, 93721-1439

✓ 9-Digit EDI 837 ZIP+4 (93721-1439)

Practice Phone & Referral Fax

(559) 227-4472

Fax: (559) 227-4217

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043328115 (SUZANNE B. CASSIDY, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043328115` (NPI-1 Individual Practitioner)
Provider / Legal Name	SUZANNE B. CASSIDY, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Clinical Genetics NUCC Code: `207SG0201X` (Medical Genetics, Clinical Genetics (M.D.))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2900 FRESNO ST, SUITE 101, FRESNO, CA, 93721-1439
Practice Telephone / Fax	Tel: (559) 227-4472 \| Fax: (559) 227-4217
Administrative Mailing Address	66 TOYON LN, SAUSALITO, CA, 94965-1826
Enumeration & Last Sync	Enumerated: 2006-08-28 \| CMS Record Updated: 2011-02-24

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2900 FRESNO ST, SUITE 101, FRESNO, CA, 93721-1439

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Plain-English Taxonomy & CMS Crosswalk (207SG0201X)

What Does Taxonomy Code 207SG0201X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207SG0201X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Clinical Genetics"

CMS-1500 Medicare Specialty Crosswalk: CMS Code D3 (Medical Genetics and Genomics)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Medical Genetics, Clinical Genetics (M.D.) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SUZANNE B. CASSIDY, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: CA \| License: `G85862` \| Primary: Secondary
`207SG0201X` — Medical Genetics, Clinical Genetics (M.D.) Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Clinical Genetics	State: CA \| License: `G85862` \| Primary: Yes (Primary)
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: CA \| License: `G85862` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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SUZANNE B. CASSIDY, MD (NPI #1043328115)