Kimberly Ann Sussman, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS 10321 Issued in FL

Practice address

7545 W Boynton Beach Blvd
201
Boynton Beach, FL 33437-6166

Phone

(561) 906-3238

Fax

(561) 736-0887

NPI assigned

Sep 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Kansas City College of Medicine and Surgery, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20004/brand/12/csg/1/fhir/r4
• Direct secure messaging: k.sussman@tmc-fl.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Trillium Medical Center PLLC

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1730485343
  Medicare reassignment NPD Authorized official
• Providers Health Alliance, LLC

  • Internal Medicine Physician
  • Loxahatchee, FL
  • NPI 1689064834
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1386977262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 W BOYNTON BEACH BLVD",
            "address_2": "SUITE 201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376166",
            "telephone_number": "561-736-0881",
            "fax_number": "561-736-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 W BOYNTON BEACH BLVD",
            "address_2": "201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376166",
            "telephone_number": "561-906-3238",
            "fax_number": "561-736-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS  10321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surfside Non-Surgical Orthopedics
• Surgical First Assist of the Palm Beaches
• Martine Surratt
• Sussman OBGYN LLC
• Alyssa Sussman, M.D.
• Robert Brian Sussman, M.D.
• Marisa Elena Sutton
• Emily Swartz, MSOTR/L
• Ty Kaine Swartzlander, M.D.
• Kindal Alysse Sweet, PA-C

• Internal Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.

Verify at the official NPI Registry.