Active NPI
Suzanne M. Demming, M.D.
- Ophthalmology Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME51036
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055626200 | Medicaid | FL | |
| 180027278 | Other | FL | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110224000402 | FL | Practitioner - Ophthalmology | 6103956636 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME51036 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Partners of Florida PA | Ophthalmology | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba Central Florida Retina
- Ophthalmology Physician
- Orlando, FL
- NPI 1740387968
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.