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

Susan J Back, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902936669

Susan J Back, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 2004, 22 years ago. Practices with Radiology Associates of Children's Hospital, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2007
Specialties on file
5
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

3401 Civic Center Blvd Children's Hospital Of Philadelphia - Radiology
Philadelphia, PA 19104-4319
Phone: (215) 590-7000
Fax: (215) 590-9348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD429646 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence MD429646 (PA)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence MD429646 (PA)
Body Imaging Physician Taxonomy 2085B0100X · Licence MT184561 (PA)

Record details

NPI number1902936669
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESMay 30, 2013

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Radiology Associates Of Children'S Hospital, Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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