Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Amy Blake Susnow, MD

Individual provider Clinical Genetics (M.D.) Physician · NPI 1043246994

Dr. Amy Blake Susnow, MD is a Pediatric Medicine in Madison, Wisconsin. Graduated from University of Vermont College of Medicine in 2006, 20 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Colorado, Washington and Wisconsin.

Years since qualifying
20
Trained at
University of Vermont College of Medicine
Licensed in
CO, WA, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-2274
Phone: (608) 263-6420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 56132 (WI)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence DR.0058101 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence FE60028232 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WI)

Record details

NPI number1043246994
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJuly 3, 2022
Certification dateJuly 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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