Individual provider Active NPI

Kelly Suzanne Liker, MD, MBA

  • Child Abuse Pediatrics Physician
  • Miami, FL
National Provider Identifier
1689817256
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Abuse Pediatrics PhysicianTaxonomy code 2080C0008X
License
ME182574 Issued in FL
Practice address
1265 NW 12TH Ave
Miami, FL 33136-2140
Phone
(305) 547-6800
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child Abuse Pediatrics Physician 2080C0008X ME182574 FL Primary
Pediatrics Physician 208000000X ME182574 FL

Addresses

Primary practice location

1265 NW 12TH Ave
Miami, FL 33136-2140

Mailing address

1265 NW 12TH Ave
Miami, FL 33136-2140
Phone (305) 243-7550

Other identifiers 1

IdentifierTypeStateIssuer
0216956MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200515002101 OH Practitioner - Pediatric Medicine 1658592753 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.131086OHMDChild Abuse Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince May 1, 2020 Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince May 1, 2020 Accepting new patients

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

410 Valley St
Dayton, OH 45404
Phone 9376413401 ext. 2

320 E Silver St
Lebanon, OH 45036
Phone (513) 695-3100

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

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.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1689817256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362140",
            "telephone_number": "305-243-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362140",
            "telephone_number": "305-547-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKER",
        "first_name": "KELLY",
        "middle_name": "SUZANNE",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "FL",
            "license": "ME182574",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME182574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216956",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.