Individual provider Active NPI

Susan L Merola-McConn, MD

  • Family Medicine Physician
  • Palm Beach, FL
National Provider Identifier
1346201068
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME84300 Issued in FL
Practice address
218 Royal Palm Way
Palm Beach, FL 33480-4303
Phone
(305) 243-2327
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME84300 FL Primary

Addresses

Primary practice location

218 Royal Palm Way
Palm Beach, FL 33480-4303

Mailing address

218 Royal Palm Way
Palm Beach, FL 33480-4303
Phone (305) 243-2327

Other identifiers 1

IdentifierTypeStateIssuer
02508776MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100226000060 NY Practitioner - Family Practice 0446394639
I20220119001806 FL Practitioner - Family Practice 0446394639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1400 NW 14TH St
University of Miami Hospital
Miami, FL 33136-1534
Phone (305) 585-6000

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME84300FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Nov 1, 2021 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Nov 1, 2021 Accepting new patients
North Medical PC Family Medicine Past Accepting new patients
Biby Rajan-George M.D PLLC PastSince Oct 10, 2021 Accepting new patients
St Josephs Medical PC Family Medicine PastSince Jan 12, 2019 Accepting new patients
University of Miami Family Medicine PastSince Sep 8, 2024 Accepting new patients
University of Miami PastSince Sep 8, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Interoperability endpoints

  • Direct secure messaging: smcconn@hiemail.healtheconnections.org
  • Direct secure messaging: smerolamcconn94657@direct.med.miami.edu
  • Direct secure messaging: susan.merola-mcconn.1@13034.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1346201068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ROYAL PALM WAY",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804303",
            "telephone_number": "305-243-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 ROYAL PALM WAY",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "334804303",
            "telephone_number": "305-243-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEROLA-MCCONN",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME84300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02508776",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.