Individual provider Active NPI

Rekhaben Ramanbhai Suthar, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Coconut Creek, FL
National Provider Identifier
1467866780
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME140928 Issued in FL
Practice address
4515 Wiles Rd Ste 210a
Coconut Creek, FL 33073-3406
Phone
(954) 707-6939
NPI assigned
Jun 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME140928 FL Primary

Addresses

Primary practice location

4515 Wiles Rd Ste 210a
Coconut Creek, FL 33073-3406

Mailing address

4515 Wiles Rd Ste 210a
Coconut Creek, FL 33073-3406
Phone (954) 707-6939

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsuthar20333@LRHS.direct-ci.com Direct

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
I20190820000475 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 7113255837 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synovation Medical Group LLCGroup PAC ID 2860590098, 3 clinicians

Practice addresses (Care Compare)

2500 E Hallandale Beach Blvd
Suite 211
Hallandale Beach, FL 33009-4835
Phone (954) 457-0064

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Dec 1, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
Radiology & Imaging Specialists of Lakeland CurrentSince Sep 1, 2019 Accepting new patients
Synovation Medical Group, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

2500 E Hallandale Beach Blvd
Ste 211
Hallandale Beach, FL 33009
Phone (954) 456-5533

3599 University Blvd S
Ste 601
Jacksonville, FL 32216
Phone (904) 367-0707

2125 Crystal Grove Dr
Lakeland, FL 33801
Phone (863) 701-2225

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

3015 Lakeland Highlands Rd
Lakeland, FL 33803
Phone (863) 284-6860

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

7000 SW 62nd Ave
Ste 535
South Miami, FL 33143
Phone (786) 268-4044

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rsuthar20333@lrhs.direct-ci.com
  • Direct secure messaging: rsuthar147519@direct.metrohealth.org

Organizations & group practices 4

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": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1467866780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 WILES RD STE 210A",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733406",
            "telephone_number": "954-707-6939",
            "fax_number": "863-630-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 WILES RD STE 210A",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733406",
            "telephone_number": "954-707-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHAR",
        "first_name": "REKHABEN",
        "middle_name": "RAMANBHAI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-14",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME140928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsuthar20333@LRHS.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3015 Lakeland Highlands Rd",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338034339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.