Individual provider Active NPI

Sussel Gandur Martinez, ARNP

  • Critical Care Medicine Nurse Practitioner
  • Miami, FL
National Provider Identifier
1104490838
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
APRN11008348 Issued in FL
Practice address
8900 N Kendall Dr
Miami, FL 33176-2197
Phone
(305) 928-7249
Fax
(305) 630-3632
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X APRN11008348 FL Primary

Addresses

Primary practice location

8900 N Kendall Dr
Miami, FL 33176-2197

Mailing address

6021 NW 201St St
Hialeah, FL 33015-4889
Phone (786) 503-9520

Other practice location 1

20814 W Dixie Hwy
Miami, FL 33180-1147
Phone (305) 933-8433 ext. 8102

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116000987 FL Practitioner - Nurse Practitioner 1850780784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1100 NW 95 St
Miami, FL 33150-2038
Phone (305) 928-7249

1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 689-8648

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 661-9404

Hospital & facility affiliations

  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Critical Care Services LLC CurrentSince Oct 1, 2021 Accepting new patients
University of Miami CurrentSince Oct 1, 2022 Accepting new patients
University of Miami CurrentSince Oct 1, 2022 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Fl 4
Miami, FL 33136
Phone (305) 243-2424

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1104490838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 NW 201ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154889",
            "telephone_number": "786-503-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762197",
            "telephone_number": "305-928-7249",
            "fax_number": "305-630-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20814 W Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331801147",
            "country_code": "US",
            "telephone_number": "305-933-8433 x8102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANDUR MARTINEZ",
        "first_name": "SUSSEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11008348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.