Susan Marie Mata, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME66143 Issued in FL

Practice address

11030 Rca Center Dr
Ste 3015
Palm Beach Gardens, FL 33410-4276

Phone

(561) 776-7041

Fax

(561) 776-7043

NPI assigned

Apr 19, 2006

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

Dermatology

Education

University of Miami, LM Miller School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shapiro and Borenstein Dermatology LLPGroup PAC ID 1052491412, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.86 of 100Reported as group

Quality

87.73

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Shapiro and Borenstein Dermatology LLP

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1639276694

  FL

  Medicare reassignment Care Compare group
• Palm Beach Gardens Regional Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1003205196
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1477518892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR",
            "address_2": "STE 3015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "561-776-7041",
            "fax_number": "561-776-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR",
            "address_2": "STE 3015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "561-776-7041",
            "fax_number": "561-776-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME66143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtina Marvin
• Chelsey Masjuan
• Kathryn Maslowe, PSY.D.
• Romy Massaad
• Enginova L Mastroti, APRN
• Kevin Anel Matos Salgado, PHARM.D
• Matrix Pain Management
• Matthew M. Ramseyer, M.D., PLLC
• Pamela Matthews
• Ayelet May, CCC-SLP

• All providers in Palm Beach Gardens, FL
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.