NPIMap

Individual provider Active NPI

John S Suen, MD

  • Specialist
  • Vero Beach, FL
National Provider Identifier
1710987292
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0062461 Issued in FL
Practice address
3735 11TH Cir
Suite 103
Vero Beach, FL 32960-4844
Phone
(772) 770-4888
Fax
(772) 770-0190
NPI assigned
Jul 27, 2005
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 271760-1 NY
Pulmonary Disease Physician 207RP1001X 271760-1 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 271760-1 NY
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 271760-1 NY
Specialist 174400000X ME0062461 FL Primary

Addresses

Primary practice location

3735 11TH Cir
Suite 103
Vero Beach, FL 32960-4844

Mailing address

3735 11TH Cir
Ste 103
Vero Beach, FL 32960-4884
Phone (772) 770-4888

Other identifiers 1

IdentifierTypeStateIssuer
3708373-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000401 FL Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 9133163512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
University of Toronto, Faculty of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3735 11TH Cir
Suite 103
Vero Beach, FL 32960-4884

3735 11TH Circle
Suite 103
Vero Beach, FL 32960-4884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as individual
Quality
72.31
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062461FLMDSpecialist
271760-1NYMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Respiratory-St Lucie Inc CurrentSince Feb 29, 2008 Accepting new patients
Indian River Health Services Inc CurrentSince Sep 1, 2011 Accepting new patients
Indian River Health Services Inc CurrentSince Sep 1, 2011 Accepting new patients
John S Suen MD PA Pulmonary Disease CurrentSince Mar 15, 2005 Accepting new patients

Locations

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1355 37th St
Ste 302
Vero Beach, FL 32960
Phone (772) 213-9809

3735 11th Cir
Ste 103
Vero Beach, FL 32960
Phone (772) 226-6855

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAGADA/Endpoint/BAGADA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1710987292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 11TH CIR",
            "address_2": "STE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604884",
            "telephone_number": "772-770-4888",
            "fax_number": "772-770-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 11TH CIR",
            "address_2": "SUITE 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604844",
            "telephone_number": "772-770-4888",
            "fax_number": "772-770-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEN",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "271760-1",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "271760-1",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "271760-1",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NY",
            "license": "271760-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0062461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3708373-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.