Active NPI
Jeffry Matos Suarez, MD
- Diagnostic Radiology Physician
- Pontiac, MI
National Provider Identifier
1568043883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME179223
- Practice address
- 50 N Perry St
Pontiac, MI 48342-2217 - Phone
- (248) 338-5392
- Fax
- (248) 338-5567
- NPI assigned
- Apr 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME179223 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | MI |
Addresses
Primary practice location
50 N Perry St
Pontiac, MI 48342-2217
Mailing address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0291
Other practice location 1
PO Box 100374
Gainesville, FL 32610-0374
Phone (352) 265-0291
Other practice location 2
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1568043883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-265-0291",
"fax_number": "352-265-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "248-338-5392",
"fax_number": "248-338-5567"
}
],
"practiceLocations": [
{
"address_1": "PO Box 100374",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326100374",
"country_code": "US",
"telephone_number": "352-265-0291",
"fax_number": "352-265-0279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3600 Minnesota Dr Ste 800",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554357915",
"country_code": "US",
"telephone_number": "952-595-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATOS SUAREZ",
"first_name": "JEFFRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-19",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME179223",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.