Active NPI
Sussel Vega Pupo
- Family Nurse Practitioner
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F01211301
- Practice address
- 5441 N University Dr Ste 101
Coral Springs, FL 33067-4640 - Phone
- (954) 803-9002
- Fax
- (954) 933-2305
- NPI assigned
- Feb 23, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F01211301 | FL | Primary |
Addresses
Primary practice location
5441 N University Dr Ste 101
Coral Springs, FL 33067-4640
Mailing address
7898 NW 171St St
Hialeah, FL 33015-3842
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (305) 689-7272
Hospital & facility affiliations
- Univ of Miami Hospital and Clinics-Sylvester Compr
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 78.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01211301 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| The Neurology Institute, LLC | Current | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Locations
5441 N University Dr
Ste 101
Coral Springs, FL 33067
Phone (954) 739-2221
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1321 NW 14th St
Ste 406
Miami, FL 33125
Phone (305) 243-8434
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- svegapupo133119@direct.med.miami.edu
- https://api.platform.athenahealth.com/22170/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/DECFCD
Organizations & group practices 5
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.
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
-
- Neurology Physician
- Coral Springs, FL
- NPI 1922549674
-
- Neurological Surgery Physician
- Miami, FL
- NPI 1063464550
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Pediatric Allergy/Immunology Physician
- Miami, FL
- NPI 1427609080
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Miami, FL
- NPI 1679660617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1376137166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7898 NW 171ST ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 N UNIVERSITY DR STE 101",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330674640",
"telephone_number": "954-803-9002",
"fax_number": "954-933-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA PUPO",
"first_name": "SUSSEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-23",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F01211301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.