Active NPI
Michael James Suah, M.D.
- Dermatology Physician
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME76773
- Practice address
- 400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157 - Phone
- (638) 667-7904
- Fax
- (386) 677-3083
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME76773 | FL | Primary |
Addresses
Primary practice location
400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Mailing address
400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Phone (638) 667-7904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Howard University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Hospital & facility affiliations
- Adventhealth Daytona Beach
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.62 of 100
- Quality
- 100
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 72.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 200 |
| Removal of skin lesions | 1991 |
| Removal or shaving of skin growth | 20 |
| Skin biopsy | 645 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parks Dermatology Center LLC | Dermatology | Current | Accepting new patients |
Locations
400 Lakebridge Plaza Dr
Ormond Beach, FL 32174
Phone (386) 677-9044
1175 Dunlawton Ave
Ste 102
Port Orange, FL 32127
Phone (386) 316-8092
Organizations & group practices 1
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.
-
- Dermatology Physician
- Ormond Beach, FL
- NPI 1629063680
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1114912466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LAKEBRIDGE PLAZA DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745157",
"telephone_number": "638-667-7904",
"fax_number": "386-677-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LAKEBRIDGE PLAZA DR",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745157",
"telephone_number": "638-667-7904",
"fax_number": "386-677-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAH",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME76773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.