Active NPI
Evolve Wellness and Recovery
- Addiction Medicine (Internal Medicine) Physician
- Plantation, FL
National Provider Identifier
1154177012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- EVOLVE WELLNESS AND RECOVERY
- Practice address
- 4161 NW 5TH St Ste 201
Plantation, FL 33317-2101 - Phone
- (954) 859-6051
- Fax
- (954) 349-1716
- NPI assigned
- Apr 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven M Suastegui, MD
- Title
- Medical Director
- Phone
- (954) 483-8348
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
4161 NW 5TH St Ste 201
Plantation, FL 33317-2101
Mailing address
4161 NW 5TH St Ste 201
Plantation, FL 33317-2101
Phone (954) 859-6051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2315316 | Evolve Wellness and Recovery LLC | Certificate of waiver | Dec 10, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Plantation, FL
- NPI 1871144618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1154177012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 NW 5TH ST STE 201",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172101",
"telephone_number": "954-859-6051",
"fax_number": "954-349-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 NW 5TH ST STE 201",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172101",
"telephone_number": "954-859-6051",
"fax_number": "954-349-1716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE WELLNESS AND RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-30",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A",
"authorized_official_last_name": "SUASTEGUI",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "954-483-8348",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.