Susan M Stack, M.D.
Susan M Stack is a Pediatrics Physician provider (Pediatrics) practicing in Madison, IN, registered in the NPPES registry with NPI 1588696314 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588696314 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Susan M Stack |
| Credential | M.D. |
| Sex | Female |
| Practice address | 1373 E SR 62, Madison, IN, 47250 |
| Phone | 8128010300 |
| Fax | 8128010585 |
| Enumeration date | 2006-07-06 |
| Last updated in NPPES | 2019-02-20 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | 01033162 | IN |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410015P | Other | IN | SIHO |
| 000000042214 | Other | IN | ANTHEM BCBS |
| 100148860A | Medicaid | IN | — |
| 1082593 | Other | KY | PASSPORT KY MEDICAID |
| 4370872 | Other | — | AETNA |
| 64759780 | Medicaid | KY | — |
Copy-ready billing details
Provider: Susan Stack, M.D. NPI: 1588696314 Taxonomy: 208000000X (Pediatrics Physician) Address: 1373 E SR 62, Madison, IN, 47250
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518916048 | Norton - Kings Daughters Health, Inc | Organization | General Acute Care Hospital | Madison, IN |
| 1316976855 | Robert Ellis | Individual | Family Medicine Physician | Madison, IN |
| 1710918891 | Patrick Stack | Individual | Pediatrics Physician | Madison, IN |
| 1508881160 | Paul Rosenberg | Individual | Orthopaedic Surgery Physician | Madison, IN |
| 1891891123 | Panna Patel | Individual | Internal Medicine Physician | Madison, IN |
| 1023232592 | Norton King'S Daughters' Health Inc | Organization | General Acute Care Hospital | Madison, IN |
| 1992906382 | Edward Kubek | Individual | Plastic Surgery Physician | Madison, IN |
| 1245530203 | William Porter | Individual | Radiation Oncology Physician | Madison, IN |
Verify this record
Cross-check NPI 1588696314 against the authoritative CMS record: view Susan M Stack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Susan Stack?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-02-20.