NPIMap

Individual provider Active NPI

Susanna C Oh, D.O.

  • Neurology Physician
  • South Miami, FL
National Provider Identifier
1124363098
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20A11417 Issued in CA
Practice address
7031 SW 62ND Ave
South Miami, FL 33143-4701
Phone
(305) 284-7500
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20A11417 CA Primary
Neurology Physician 2084N0400X UO3396 FL

Addresses

Primary practice location

7031 SW 62ND Ave
South Miami, FL 33143-4701

Mailing address

PO Box 430374
Miami, FL 33243-0374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104000790 FL Practitioner - Neurology 0840500898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Western University of Health Sciences College of Dental Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohamad Iqbal Saleh MD PAGroup PAC ID 5294719100, 2 clinicians

Practice addresses (Care Compare)

13250 N 56TH St
Suite 102
Temple Terrace, FL 33617-1165
Phone (352) 238-1815

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A11417CAMDNeurology Physician
UO3396FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Neurological Group LLC CurrentSince May 1, 2016 Accepting new patients
Mohamad Iqbal Saleh MD PA Neurology CurrentSince May 1, 2023 Accepting new patients

Locations

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

7374 SW 93rd Ave
Ste 201A
Miami, FL 33173
Phone (786) 753-7461

10441 Quality Dr
Ste 100
Spring Hill, FL 34609
Phone (352) 293-4438

13250 N 56th St
Ste 102
Temple Terrace, FL 33617
Phone (352) 238-1815

5340 E 131st Ave
Unit 106
Temple Terrace, FL 33617
Phone (352) 293-4438

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Interoperability endpoints

  • Direct secure messaging: soh566146@direct.shands.ufl.edu

Organizations & group practices 2

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 12

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1124363098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430374",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332430374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434701",
            "telephone_number": "305-284-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "SUSANNA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A11417",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "UO3396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.