Individual provider Active NPI

Luis R. Annoni-Suau, MD

  • Clinical Cardiac Electrophysiology Physician
  • Hudson, FL
National Provider Identifier
1073501789
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME68092 Issued in FL
Practice address
14100 Fivay Rd
Suite 310
Hudson, FL 34667
Phone
(727) 862-3202
Fax
(727) 862-2182
NPI assigned
Oct 7, 2005
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME68092 FL Primary

Addresses

Primary practice location

14100 Fivay Rd
Suite 310
Hudson, FL 34667

Mailing address

2035 Little Road
Trinity, FL 34655
Phone (727) 862-3202

Other identifiers 6

IdentifierTypeStateIssuer
2505231OtherUNITED HEALTH CARE
27056OtherBLUE CROSS BLUE SHIELD
0656257OtherAETNA
214667OtherAVMED
378583100MedicaidFL
6384447002OtherCIGNA

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
I20041122000679 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3072581321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Cardiac Consultants PLCGroup PAC ID 7719955061, 7 clinicians

Practice addresses (Care Compare)

11308 State Rd
Suite a
New Port Richey, FL 34655-4421
Phone (787) 842-9486

14100 Fivay Rd
Suite 310
Hudson, FL 34667-7160
Phone (727) 862-3202

2035 Little Rd
Trinity, FL 34655-4421
Phone (727) 842-9486

3253 N McMullen Booth Rd
Suite 200D
Clearwater, FL 33761-2043
Phone (727) 842-9486

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Cardiac Consultants PLC CurrentSince Apr 1, 2001 Accepting new patients
Trinity Cardiac Cath Lab LLC CurrentSince Jan 3, 2016 Accepting new patients
Pinellas Ekg Interpreters Inc Past Accepting new patients

Locations

14100 Fivay Rd
Ste 310
Hudson, FL 34667
Phone (727) 376-7820

5341 Grand Blvd
Ste 106
New Prt Rchy, FL 34652
Phone (727) 376-7820

3890 Tampa Rd
Ste 407
Palm Harbor, FL 34684
Phone (727) 376-7820

11308 State Road 54
Ste A
Trinity, FL 34655
Phone (727) 639-3710

2035 Little Rd
Trinity, FL 34655
Phone (727) 842-9486

2055 Little Rd
Trinity, FL 34655
Phone (727) 376-7820

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1245/brand/1/csg/1/fhir/r4
  • Direct secure messaging: luis.annoni-suau.1@1245.direct.athenahealth.com
  • Direct secure messaging: luis.annoni-suau.1@12703.direct.athenahealth.com

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 5

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1073501789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LITTLE ROAD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-862-3202",
            "fax_number": "727-862-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD",
            "address_2": "SUITE 310",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-862-3202",
            "fax_number": "727-862-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNONI-SUAU",
        "first_name": "LUIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME68092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2505231",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0656257",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "214667",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378583100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6384447002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.