Individual provider Active NPI

Sufana Al Khunaizi, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • West Palm Beach, FL
National Provider Identifier
1063686285
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME141563 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS Solutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130821000894 ME Practitioner - Internal Medicine 0840433918 Reassigns benefits to 2 organizations
I20200220000172 FL Practitioner - Hospice/Palliative Care 0840433918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Vitas Solutions IncGroup PAC ID 7012087166, 55 clinicians

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

LicenseStateTypeSpecialty
MD19689MEMDInternal Medicine Physician
ME141563FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive MD LLC Hospice and Palliative Medicine CurrentSince Mar 8, 2025 Accepting new patients
Northern Maine Medical Center CurrentSince May 27, 2018 Accepting new patients
Vitas Solutions Inc Hospice and Palliative Medicine CurrentSince Nov 7, 2019 Accepting new patients
Northern Maine Medical Center CurrentSince May 27, 2018 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

  • Direct secure messaging: referral@vitas.direct.kno2fy.com
  • Direct secure messaging: salkhunaiz@yourcarecommunity.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.