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

Individual provider Psychiatry Physician · NPI 1063440105

Dr. Michael Vittorio Susano, MD is a Psychiatry in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2001, 25 years ago. Practices with Northwest Lousiana Human Services District, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
25
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2006
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

1310 N Hearne Ave
Shreveport, LA 71107-6516
Phone: (318) 676-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 025874 (LA)

Record details

NPI number1063440105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESMay 19, 2016

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2001 (25 years in practice)
Group practice Northwest Lousiana Human Services District — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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