Individual provider Active NPI

Ivan Jose Suner, M.D.

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1164522793
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 64994 Issued in FL
Practice address
602 S Macdill Avenue
Tampa, FL 33609-4614
Phone
(813) 875-6373
Fax
(813) 876-0960
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2005-01163 NC
Ophthalmology Physician 207W00000X ME 64994 FL Primary

Addresses

Primary practice location

602 S Macdill Avenue
Tampa, FL 33609-4614

Mailing address

602 S Macdill Avenue
Tampa, FL 33609-4614
Phone (813) 875-6373

Other identifiers 1

IdentifierTypeStateIssuer
16445OtherFLBCBS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090102000191 FL Practitioner - Ophthalmology 7315966157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of Florida, P.a.Group PAC ID 4486719408, 3 clinicians

Practice addresses (Care Compare)

602 S Macdill Ave
Tampa, FL 33609-4614
Phone (813) 875-6373

Merit-based Incentive Payment System (MIPS)

Final score
95.07 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 64994FLMDOphthalmology Physician
2005-01163NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of Florida, P.a. Ophthalmology CurrentSince Jan 1, 2009 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

1007 Professional Park Dr
Brandon, FL 33511
Phone (813) 651-3300

814 Griffin Rd
Lakeland, FL 33805
Phone (863) 686-1010

18709 N Dale Mabry Hwy
Ste B
Lutz, FL 33548

5013 N Armenia Ave
Tampa, FL 33603
Phone (813) 712-5700

10740 Palm River Rd
Ste 210
Tampa, FL 33619
Phone (813) 660-6600

602 S Macdill Ave
Tampa, FL 33609
Phone (813) 391-7296

2333 W Hillsborough Ave
Ste 120
Tampa, FL 33603
Phone (813) 871-3231

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: isuner8653@direct.tgh.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1164522793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S MACDILL AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094614",
            "telephone_number": "813-875-6373",
            "fax_number": "813-876-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S MACDILL AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094614",
            "telephone_number": "813-875-6373",
            "fax_number": "813-876-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNER",
        "first_name": "IVAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2005-01163",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 64994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16445",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.