Individual provider Active NPI

Susana T Segura, M.D.

  • Internal Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1437358108
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME107093 Issued in FL
Practice address
2310 Tamiami TRL Unit 2101
Punta Gorda, FL 33950-5934
Phone
(941) 621-3800
Fax
(941) 621-3888
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 ME107093 FL Primary

Addresses

Primary practice location

2310 Tamiami TRL Unit 2101
Punta Gorda, FL 33950-5934

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 1

IdentifierTypeStateIssuer
002630300MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000316 FL Practitioner - Internal Medicine 8820186844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

2310 Tamiami TRL
Unit 2101
Punta Gorda, FL 33950-5934
Phone (941) 621-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107093FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System Internal Medicine CurrentSince Sep 17, 2018 Accepting new patients
Lee Health System Inc CurrentSince Jan 11, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Lee Health System Inc Internal Medicine CurrentSince Jan 11, 2025 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Lee Memorial Health System CurrentSince Sep 17, 2018 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

16271 Bass Rd
Fort Myers, FL 33908
Phone (239) 343-7100

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

2310 Tamiami Trl
Unit 2101
Punta Gorda, FL 33950
Phone (941) 621-3800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: susana.segura.1@4290.direct.athenahealth.com

Organizations & group practices 6

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1437358108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 TAMIAMI TRL UNIT 2101",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505934",
            "telephone_number": "941-621-3800",
            "fax_number": "941-621-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "SUSANA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002630300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.