Individual provider Active NPI

Susan Beil, MD

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
National Provider Identifier
1548256407
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME59862 Issued in FL
Practice address
6853 SW 18TH St
Ste 301
Boca Raton, FL 33433-7056
Phone
(561) 368-3775
Fax
(561) 368-1143
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME59862 FL Primary

Addresses

Primary practice location

6853 SW 18TH St
Ste 301
Boca Raton, FL 33433-7056

Mailing address

6853 SW 18TH St
Ste 301
Boca Raton, FL 33433-7056
Phone (561) 368-3775

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
I20060303000166 FL Practitioner - Obstetrics/Gynecology 1850307653 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Mar 1, 2008 Accepting new patients

Locations

6859 SW 18th St
Ste 200
Boca Raton, FL 33433
Phone (561) 368-3775

6853 SW 18th St
Ste 301
Boca Raton, FL 33433
Phone (561) 368-3775

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

Organizations & group practices 1

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1548256407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 SW 18TH ST",
            "address_2": "STE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337056",
            "telephone_number": "561-368-3775",
            "fax_number": "561-368-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 SW 18TH ST",
            "address_2": "STE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337056",
            "telephone_number": "561-368-3775",
            "fax_number": "561-368-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIL",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME59862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.