Individual provider Active NPI

Suany Pichardo

  • Gerontology Nurse Practitioner
  • Miami, FL
National Provider Identifier
1457028953
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11016498 Issued in FL
Practice address
3022 SW 17TH St
Miami, FL 33145-1910
Phone
(786) 290-5676
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9454116 FL
Gerontology Nurse Practitioner 363LG0600X APRN11016498 FL Primary

Addresses

Primary practice location

3022 SW 17TH St
Miami, FL 33145-1910

Mailing address

3022 SW 17TH St
Miami, FL 33145-1910
Phone (786) 290-5676

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112002599 FL Practitioner - Nurse Practitioner 5496147985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

9408 SW 87 Ave
Miami, FL 33176-2416
Phone (305) 913-0666

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9454116FLMDRegistered Nurse
APRN11016498FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC CurrentSince Dec 27, 2021 Accepting new patients
Gastro Health, LLC CurrentSince Dec 27, 2021 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

15955 SW 96th St
Ste 307
Miami, FL 33196
Phone (305) 468-4191

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

9408 SW 87th Ave
Ste 200
Miami, FL 33176
Phone 3054684190 ext. 5003

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

Interoperability endpoints

  • Direct secure messaging: suany.pichardo@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1457028953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 SW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451910",
            "telephone_number": "786-290-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 SW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451910",
            "telephone_number": "786-290-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO",
        "first_name": "SUANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9454116",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11016498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.