Active NPI
Ivan Jose Suner, M.D.
- Ophthalmology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME 64994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16445 | Other | FL | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 83.56
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 65 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 64994 | FL | MD | Ophthalmology Physician |
| 2005-01163 | NC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Associates of Florida, P.a. | Ophthalmology | Current | 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
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Ophthalmology Physician
- Tampa, FL
- NPI 1811959570
FL, Ophthalmology
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.