Individual provider Active NPI

Suelane Sousa DO Ouro, MD

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1114908845
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
226227 Issued in NY
Practice address
200 W 57TH St
Suite 608
New York, NY 10019-3211
Phone
(212) 581-4488
Fax
(212) 581-4141
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 226227 NY Primary

Addresses

Primary practice location

200 W 57TH St
Suite 608
New York, NY 10019-3211

Mailing address

800 2ND Ave
RM 900
New York, NY 10017-9218
Phone (212) 581-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040920001100 NY Practitioner - Interventional Pain Management 4385612118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Pain Relief Medicine PLLCGroup PAC ID 7618294687, 2 clinicians

Practice addresses (Care Compare)

780 8TH Ave
Suite 201
New York, NY 10036-7000
Phone (917) 724-1886

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119

Merit-based Incentive Payment System (MIPS)

Final score
77.95 of 100Reported as individual
Quality
53.17
Improvement activities
40
Cost
56.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226227NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Pain Relief Medicine PLLC Interventional Pain Medicine CurrentSince Feb 2, 2015 Accepting new patients
New York Pain Pump Medicine PC CurrentSince Jan 1, 2025 Accepting new patients
Regional Neurological Associates, PC CurrentSince Nov 1, 2020 Accepting new patients
New York Medicine Doctors, PLLC. Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Locations

4256 Bronx Blvd
Ste 5
Bronx, NY 10466
Phone (718) 655-9111

4234 Bronx Blvd
Frnt 1
Bronx, NY 10466
Phone (718) 655-9111

780 8th Ave
Ste 201
New York, NY 10036
Phone (212) 757-0222

800 2nd Ave
Rm 9C
New York, NY 10017

800 2nd Ave
Fl 9
New York, NY 10017
Phone (212) 539-0257

800 2nd Ave
Rm 900
New York, NY 10017

800 2nd Ave
Fl 7
New York, NY 10017
Phone (212) 419-1016

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sdoourorodrigues67634@northwell.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 1

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1114908845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVE",
            "address_2": "RM 900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179218",
            "telephone_number": "212-581-4488",
            "fax_number": "212-581-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-581-4488",
            "fax_number": "212-581-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO OURO",
        "first_name": "SUELANE",
        "middle_name": "SOUSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "226227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.