Individual provider Active NPI

Susana Londono, DPM, MBA

  • Foot & Ankle Surgery Podiatrist
  • Dunedin, FL
National Provider Identifier
1487303608
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4612 Issued in FL
Practice address
646 Virginia St Ste 201
Dunedin, FL 34698-6612
Phone
(727) 306-0231
Fax
(727) 655-9622
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4612 FL Primary

Addresses

Primary practice location

646 Virginia St Ste 201
Dunedin, FL 34698-6612

Mailing address

646 Virginia St Ste 201
Dunedin, FL 34698-6612

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411000107 FL Practitioner - Podiatry 1254855208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

646 Virginia St
Dunedin, FL 34698-6612
Phone (727) 306-0231

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue370
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
PO4612FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedirite Medical FL LLC CurrentSince Feb 3, 2025 Accepting new patients
Dr. Susana Londono, LLC Foot & Ankle Surgery CurrentSince Jul 9, 2025 Accepting new patients

Locations

601 Cleveland St
Ste 50112
Clearwater, FL 33755

60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426

646 Virginia St
Ste 201
Dunedin, FL 34698
Phone (727) 306-0231

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Organizations & group practices 2

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1487303608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 VIRGINIA ST STE 201",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986612",
            "fax_number": "727-655-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 VIRGINIA ST STE 201",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986612",
            "telephone_number": "727-306-0231",
            "fax_number": "727-655-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDONO",
        "first_name": "SUSANA",
        "credential": "DPM, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.