Individual provider Active NPI

Ramon Sueiro, MD

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1790854560
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0071348 Issued in FL
Practice address
1503 Sunrise Plaza Dr
Clermont, FL 34714-6200
Phone
(352) 243-3800
Fax
(352) 243-3804
NPI assigned
Nov 7, 2006
Last updated
Apr 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0071348 FL Primary

Addresses

Primary practice location

1503 Sunrise Plaza Dr
Clermont, FL 34714-6200

Mailing address

1503 Sunrise Plaza Dr
Clermont, FL 34714-6200
Phone (352) 243-3800

Other identifiers 5

IdentifierTypeStateIssuer
250594100MedicaidFL
P00218361OtherFLRR MEDICARE PALMETTO GBA
2156568OtherFLAETNA
31611OtherFLBCBS
6512601OtherFLCIGNA

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
I20101215000053 FL Practitioner - Family Practice 6507053626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1503 Sunrise Plaza Dr
Clermont, FL 34714-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Lake Primary Care P a CurrentSince Oct 6, 2010 Accepting new patients
South Lake Primary Care P a Family Medicine PastSince Sep 1, 1999 Accepting new patients

Locations

1503 Sunrise Plaza Dr
Clermont, FL 34714
Phone (352) 243-3555

17445 US Highway 192
Ste 12
Clermont, FL 34714
Phone (352) 243-3800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1790854560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 SUNRISE PLAZA DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146200",
            "telephone_number": "352-243-3800",
            "fax_number": "352-243-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SUNRISE PLAZA DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146200",
            "telephone_number": "352-243-3800",
            "fax_number": "352-243-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEIRO",
        "first_name": "RAMON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0071348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250594100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PALMETTO GBA",
            "identifier": "P00218361",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2156568",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31611",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6512601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.