Active NPI
Sufana Al Khunaizi, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- ME141563
- Practice address
- 100 Century Blvd Ste 101
West Palm Beach, FL 33417-2262 - Phone
- (877) 868-4827
- NPI assigned
- Apr 18, 2008
- Last updated
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD19689 | ME | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ME141563 | FL | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | ME141563 | FL | Primary |
Addresses
Primary practice location
100 Century Blvd Ste 101
West Palm Beach, FL 33417-2262
Mailing address
100 Century Blvd Ste 101
West Palm Beach, FL 33417-2262
Phone (877) 868-4827
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referral@vitas.direct.kno2fy.com | VITAS Solutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19689 | ME | MD | Internal Medicine Physician |
| ME141563 | FL | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive MD LLC | Hospice and Palliative Medicine | Current | Accepting new patients |
| Northern Maine Medical Center | Current | Accepting new patients | |
| Vitas Solutions Inc | Hospice and Palliative Medicine | Current | Accepting new patients |
| Northern Maine Medical Center | Current | Accepting new patients | |
| St. Joseph Ambulatory Care Inc | Past | Accepting new patients |
Locations
1901 S Congress Ave
Ste 420
Boynton Beach, FL 33426
Phone (561) 364-1479
5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277
101 John F Kennedy Dr
Lake Worth, FL 33462
Phone (561) 612-8080
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
3720 Executive Way
Miramar, FL 33025
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
100 Century Blvd
Ste 101
West Palm Beach, FL 33417
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
Interoperability endpoints
- referral@vitas.direct.kno2fy.com
- salkhunaiz@yourcarecommunity.org
- sufana.al.khunaizi.1@18387.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Community Health Clinic/Center
- Wellington, FL
- NPI 1427882356
Hospice and Palliative Medicine
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Miramar, FL
- NPI 1861666497
-
- Critical Access Hospital
- Fort Kent, ME
- NPI 1568465144
-
dba Sound Physicians
- Internal Medicine Physician
- North Adams, MA
- NPI 1205164951
ME
-
dba St John Valley Pharmacy
- Community/Retail Pharmacy
- Fort Kent, ME
- NPI 1952303422
-
dba St. Joseph Infusion Center
- Medical Specialty Clinic/Center
- Bangor, ME
- NPI 1184678088
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida JFK Hospital
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
-
dba Wellington Regional Medical Center
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1063686285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CENTURY BLVD STE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334172262",
"telephone_number": "877-868-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTURY BLVD STE 101",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334172262",
"telephone_number": "877-868-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL KHUNAIZI",
"first_name": "SUFANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD19689",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME141563",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME141563",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referral@vitas.direct.kno2fy.com",
"affiliation": "Y",
"affiliationName": "VITAS Solutions Inc",
"address_1": "3720 Executive Way",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330253946",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.