NPIMap

Individual provider Active NPI

Luis David Sumoza, MD

  • Hematology (Internal Medicine) Physician
  • North Miami Beach, FL
National Provider Identifier
1003258583
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
ME164064 Issued in FL
Practice address
100 NW 170TH St Ste 207
North Miami Beach, FL 33169-5510
Phone
(786) 785-7567
Fax
(786) 785-7585
NPI assigned
Jul 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME164064 FL Primary
Internal Medicine Physician 207R00000X 036126207 IL
Medical Oncology Physician 207RX0202X ME164064 FL
Medical Oncology Physician 207RX0202X 036126207 IL

Addresses

Primary practice location

100 NW 170TH St Ste 207
North Miami Beach, FL 33169-5510

Mailing address

100 NW 170TH St Ste 207
North Miami Beach, FL 33169-5510
Phone (786) 785-7567

Other identifiers 1

IdentifierTypeStateIssuer
200084858MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141114001516 IL Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 0042432619 Reassigns benefits to 1 organization
I20230815000279 FL Practitioner - Hematology/Oncology 0042432619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oncology Institute FL, LLCGroup PAC ID 7315999372, 22 clinicians

Practice addresses (Care Compare)

3702 Washington St
Suite 401
Hollywood, FL 33021-8287
Phone (754) 348-0168

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology FL, LLC Hematology & Oncology CurrentSince Aug 1, 2023 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Jul 1, 2020 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Jul 1, 2020 Accepting new patients
Stroger Hospital Past Accepting new patients
Toi FL Mso, LLC Hematology & Oncology PastSince Mar 20, 2025 Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

7100 W 20th Ave
Ste 403
Hialeah, FL 33016
Phone (305) 821-6112

3702 Washington St
Ste 401
Hollywood, FL 33021
Phone (754) 348-0168

100 NW 170th St
Ste 207
North Miami Beach, FL 33169
Phone (305) 651-8558

6262 Sunset Dr
Ste 303
South Miami, FL 33143
Phone (786) 663-5418

6499 38th Ave N
Ste G1
St Petersburg, FL 33710
Phone (727) 381-3761

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4 Memorial Dr
Ste 134
Alton, IL 62002
Phone (618) 607-1340

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

4240 Duncan Ave
Ste 301
Saint Louis, MO 63110

Networks

  • IL PPO Downstate
  • IL HMO C-SNP
  • FL HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • FL HMO
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • FL HMO D-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • Direct secure messaging: luis.sumoza@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1003258583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 207",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695510",
            "telephone_number": "786-785-7567",
            "fax_number": "786-785-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 207",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695510",
            "telephone_number": "786-785-7567",
            "fax_number": "786-785-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMOZA",
        "first_name": "LUIS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME164064",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036126207",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME164064",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036126207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200084858",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Memorial Dr",
            "address_2": "Div Medical Oncology",
            "city": "Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620026722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.