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

Susan Samudre, DO

Individual provider Anesthesiology Physician · NPI 1609258953

Susan Samudre, DO is a Pain Management in Syracuse, New York. Qualified in 2015, 11 years ago. Practices with Upstate Medical Anesthesiology Group Inc, a 75-clinician group and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
11
Licensed in
NY, VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-1834
Phone: (315) 464-4720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 311167-01 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence 311167-01 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0116028374 (VA)

Record details

NPI number1609258953
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address163 Intrepid Ln Ste 100, Syracuse, NY 13205-2548

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Upstate Medical Anesthesiology Group Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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