Individual provider Active NPI

Suzanne Marie Gozdanovic, M.D.

  • Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1003076993
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME113229 Issued in FL
Practice address
601 7TH St S Ste 510
St Petersburg, FL 33701-4736
Phone
(727) 893-6480
Fax
(727) 893-6481
NPI assigned
Jun 13, 2008
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME113229 FL
Surgery Physician 208600000X ME113229 FL Primary

Addresses

Primary practice location

601 7TH St S Ste 510
St Petersburg, FL 33701-4736

Mailing address

601 7TH St S Ste 510
St Petersburg, FL 33701-4736
Phone (727) 893-6480

Other practice location 1

1301 2nd Ave SW
Largo, FL 33770-3120
Phone (727) 584-7706

Other practice location 2

1800 66th St N Ste 210
St Petersburg, FL 33710-8747
Phone (727) 893-6480

Other names 1

  • Dr. Suzanne Marie Lieblein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000299 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 9234311234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Wright State University Boonshoft School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

601 7TH St S
Suite 510
St Petersburg, FL 33701-4736
Phone (727) 893-6550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
66.74
Promoting interoperability
87
Improvement activities
40
Cost
68.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue13
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Tampa Bay Surgical Group, LLP Surgery CurrentSince Dec 1, 2021 Accepting new patients

Locations

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

1800 66th St N
Ste 120
Saint Petersburg, FL 33710

1800 66th St N
Ste 210
St Petersburg, FL 33710
Phone (727) 893-6380

601 7th St S
Ste 510
St Petersburg, FL 33701
Phone (727) 828-6330

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

Networks

  • FL HMO
  • FL HMO D-SNP
  • FL PPO
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • FL HMO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1003076993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 7TH ST S STE 510",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014736",
            "telephone_number": "727-893-6480",
            "fax_number": "727-893-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 7TH ST S STE 510",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014736",
            "telephone_number": "727-893-6480",
            "fax_number": "727-893-6481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 2nd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703120",
            "country_code": "US",
            "telephone_number": "727-584-7706",
            "fax_number": "727-585-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 66th St N Ste 210",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108747",
            "country_code": "US",
            "telephone_number": "727-893-6480",
            "fax_number": "727-893-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOZDANOVIC",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME113229",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME113229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "LIEBLEIN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.