Active NPI
Robert Brian Sussman, M.D.
- Obstetrics & Gynecology Physician
- Boynton Beach, FL
National Provider Identifier
1285656918
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 70511
- Practice address
- 2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965 - Phone
- (561) 742-3929
- Fax
- (561) 742-3931
- NPI assigned
- Jul 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 70511 | FL | Primary |
Addresses
Primary practice location
2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965
Mailing address
2800 S Seacrest Blvd
Suite 220
Boynton Beach, FL 33435-7965
Phone (561) 742-3929
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252212800 | Medicaid | FL | |
| 252212802 | Medicaid | FL | |
| 252212801 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70511 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1285656918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S SEACREST BLVD",
"address_2": "SUITE 220",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357965",
"telephone_number": "561-742-3929",
"fax_number": "561-742-3931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S SEACREST BLVD",
"address_2": "SUITE 220",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357965",
"telephone_number": "561-742-3929",
"fax_number": "561-742-3931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "ROBERT",
"middle_name": "BRIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "70511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252212800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252212802",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252212801",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.