Individual provider Active NPI

Suzanne M. Demming, M.D.

  • Ophthalmology Physician
  • Daytona Beach, FL
National Provider Identifier
1235168659
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME51036 Issued in FL
Practice address
529 Health Blvd
Daytona Beach, FL 32114-1493
Phone
(386) 254-1951
Fax
(386) 239-9758
NPI assigned
Jun 30, 2006
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME51036 FL Primary

Addresses

Primary practice location

529 Health Blvd
Daytona Beach, FL 32114-1493

Mailing address

3824 Oakwater Cir
Orlando, FL 32806-6263
Phone (407) 425-7188

Other identifiers 2

IdentifierTypeStateIssuer
055626200MedicaidFL
180027278OtherFLRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzanne.demming@direct.cfretina.nextgenshare.com

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
I20110224000402 FL Practitioner - Ophthalmology 6103956636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51036FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Partners of Florida PA Ophthalmology CurrentSince Jun 1, 1997 Accepting new patients

Locations

529 Health Blvd
Daytona Beach, FL 32114
Phone (386) 254-1951

415 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 427-4143

3824 Oakwater Cir
Orlando, FL 32806
Phone (407) 425-7188

44 Lake Beauty Dr
Ste 200
Orlando, FL 32806

44 Lake Beauty Dr
Ste 300
Orlando, FL 32806
Phone (407) 425-7188

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: suzanne.demming@direct.cfretina.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1235168659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066263",
            "telephone_number": "407-425-7188",
            "fax_number": "407-423-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141493",
            "telephone_number": "386-254-1951",
            "fax_number": "386-239-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMMING",
        "first_name": "SUZANNE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME51036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055626200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180027278",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.demming@direct.cfretina.nextgenshare.com",
            "affiliation": "N",
            "address_1": "529 Health Blvd",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321141493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.