Individual provider Active NPI

Susanna S Gaikazian, M.D.

  • Medical Oncology Physician
  • Estero, FL
National Provider Identifier
1841209426
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME156581 Issued in FL
Practice address
8440 Murano del Lago Dr
Estero, FL 34135-8615
Phone
(239) 221-5402
Fax
(239) 949-5713
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME156581 FL
Medical Oncology Physician 207RX0202X ME156581 FL Primary

Addresses

Primary practice location

8440 Murano del Lago Dr
Estero, FL 34135-8615

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

9776 Bonita Beach Rd SE Ste 201A
Bonita Springs, FL 34135-4775
Phone (239) 947-3092

Other practice location 2

3530 Kraft Rd Ste 300
Naples, FL 34105-5020
Phone (239) 353-6636

Other names 1

  • Dr. Susanna S Gaykazyan Former name

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
I20220612000027 FL Practitioner - Medical Oncology 6901959774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

8440 Murano del Lago Dr
Estero, FL 34135-8615
Phone (239) 221-5402

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156581FLMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Jul 1, 2022 Accepting new patients
McRmc Professional Oncology Billing LLC Internal Medicine Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology Past Accepting new patients
Community Cancer Care Specialists Hematology & Oncology Past Accepting new patients
McLaren Macomb Past Accepting new patients

Locations

9776 Bonita Beach Rd SE
Ste 201A
Bonita Springs, FL 34135
Phone (239) 947-3092

8440 Murano del Lago Dr
Estero, FL 34135
Phone (239) 221-5402

8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

3530 Kraft Rd
Ste 300
Naples, FL 34105
Phone (239) 353-6636

3530 Kraft Rd
Ste 300301
Naples, FL 34105
Phone (239) 353-6636

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1841209426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200",
            "fax_number": "248-551-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 MURANO DEL LAGO DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341358615",
            "telephone_number": "239-221-5402",
            "fax_number": "239-949-5713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9776 Bonita Beach Rd SE Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354775",
            "country_code": "US",
            "telephone_number": "239-947-3092",
            "fax_number": "239-947-5298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 Kraft Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341055020",
            "country_code": "US",
            "telephone_number": "239-353-6636",
            "fax_number": "239-354-1865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAIKAZIAN",
        "first_name": "SUSANNA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME156581",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME156581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNA",
            "last_name": "GAYKAZYAN",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.