Individual provider Active NPI

Susan Alvaran Alcasid, MD

  • Internal Medicine Physician
  • Middleburg, FL
National Provider Identifier
1275596132
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35077430A Issued in OH
Practice address
400 College Dr Ste 200
Middleburg, FL 32068-8525
Phone
(904) 213-2700
Fax
(352) 384-8032
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35077430A OH Primary

Addresses

Primary practice location

400 College Dr Ste 200
Middleburg, FL 32068-8525

Mailing address

400 College Dr Ste 200
Middleburg, FL 32068-8525
Phone (904) 213-2700

Other identifiers 1

IdentifierTypeStateIssuer
2199759MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077430AOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1275596132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLLEGE DR STE 200",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688525",
            "telephone_number": "904-213-2700",
            "fax_number": "352-384-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COLLEGE DR STE 200",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688525",
            "telephone_number": "904-213-2700",
            "fax_number": "352-384-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCASID",
        "first_name": "SUSAN",
        "middle_name": "ALVARAN",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077430A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2199759",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.