Susan M. Stack, M.D.
Pediatrics Physician · Madison, IN
Susan M. Stack, M.D. is a pediatrics physician with a practice address in Madison, Indiana, and NPI 1588696314, issued on Jul 6, 2006. Check the license (Indiana 01033162, as entered in NPPES) on the Medical Licensing Board of Indiana; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Susan M. Stack
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 01033162 IN
Self-reported in NPPES; status is on the state search - Practice location
- 1373 E SR 62, Madison, IN 47250
- Phone
- (812) 801-0300
- Enumerated
- Jul 6, 2006
- Record last updated
- Feb 20, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (812) 801-0585
- Medicaid IDs
- 100148860A IN
64759780 KY - Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 1,136 in Indiana → Look up another NPI →
Also registered at 1373 E SR 62
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jenna Ali, M.DPediatrics Physician1326467523
- Jamie Baker, FNPFamily Nurse Practitioner1124541545
- Robert Ellis, M.D.Family Medicine Physician1316976855
- Edward Kubek, MDPlastic Surgery Physician1992906382
- Melissa Meyer, FNP-CFamily Nurse Practitioner1871033845
- Panna Patel, M.D.Internal Medicine Physician1891891123
Verify Susan M. Stack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01033162Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Susan M. Stack among 1,136 pediatrics physician records in Indiana
Susan M. Stack, M.D. is one of 1,136 pediatrics physician records with a practice address in Indiana. 43% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 52% newer
- In a Medicare fileNo · 43% of these records are
- In the CMS Doctors and Clinicians fileNo · 12% of these records are
- Record last updated2019 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 pediatrics physician records list a practice address in Madison
They are 8 of the 316 NPPES records with a practice address in Madison, and 1,136 pediatrics physician records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,136 in Indiana → Every provider in Madison → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Jenna Ali, M.DMadison, IN 472501326467523
- Mark Charpentier, M.D.Madison, IN 472501720117195
- Diamond Harris, M.D.Madison, IN 472501689960429
- Sarah Marshall, MDMadison, IN 472501619959723
- Matthew McRoberts, M.D.Madison, IN 472501932464070
- Patrick Stack, M.D.Madison, IN 472501710918891
- Jennifer Stone, M.D.Madison, IN 472501255394391
- Dara Burris, MD, MPHHope, IN 472461588241129
Common questions
What is Susan M. Stack, M.D.'s NPI number?
Susan M. Stack, M.D.'s National Provider Identifier (NPI) is 1588696314, issued on Jul 6, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Susan M. Stack, M.D. located?
The NPPES record lists a practice address at 1373 E SR 62, Madison, IN, 47250. Phone: (812) 801-0300. Providers update this record themselves, so call before visiting.
How can I verify Susan M. Stack, M.D.'s license?
NPPES lists Indiana license number 01033162, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.