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

Dr. Susan Jennifer Carbognin, MD

Individual provider Diagnostic Radiology Physician · NPI 1407956956

Dr. Susan Jennifer Carbognin, MD practises Diagnostic Radiology in Andrews AFB, Maryland. Qualified in 2005, 21 years ago. Practices with Premier Radiology Wisconsin LLC, a 111-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
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

1060 W Perimeter Rd
Andrews AFB, MD 20762-6601 Not confirmed with CMS for 10 years — call before visiting
Phone: (240) 612-2020
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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 AFE111304 (CA)

Record details

NPI number1407956956
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESAugust 22, 2016

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Premier Radiology Wisconsin Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Premier Radiology Wisconsin LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 111 clinicians in the practice; 12 are shown here.