Active NPI
Michael Lorne Sussman, PA-C
- Physician Assistant
- Tampa, FL
National Provider Identifier
1861820599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107280
- Practice address
- 10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727 - Phone
- (813) 259-1013
- Fax
- (813) 254-0396
- NPI assigned
- Oct 15, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16601 | TX | |
| Physician Assistant | 363A00000X | 5601012549 | MI | |
| Physician Assistant | 363A00000X | PA9107280 | FL | Primary |
| Physician Assistant | 363A00000X | PA.0007710 | CO | |
| Physician Assistant | 363A00000X | PA2840 | NV |
Addresses
Primary practice location
10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Mailing address
10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Phone (813) 259-1013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA.0007710 | Other | CO | PHYSICIAN ASSISTANT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WA, DC, VA, TX, CO, OH, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 83.29
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0007710 | CO | MD | Physician Assistant |
| PA9107280 | FL | MD | Physician Assistant |
| 5601012549 | MI | MD | Physician Assistant |
| PA2840 | NV | MD | Physician Assistant |
| PA16601 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluestone Physician Services Southeast LLC | Current | Accepting new patients | |
| Baxley Emergency Physicians LLC | Past | Accepting new patients | |
| Dispatchhealth-Florida Inc. | Past | Accepting new patients | |
| Redner Emergency Physicians, LLC | Past | Accepting new patients | |
| Dispatchhealth Advanced Care - Washington PC | Past | Accepting new patients | |
| Observation Medicine Services of Florida, LLC | Past | Accepting new patients |
Locations
10150 Highland Manor Dr
Ste 205
Tampa, FL 33610
Phone (813) 259-1013
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1346212370
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1407472723
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1255945739
-
- Emergency Medicine Physician
- New Port Richey, FL
- NPI 1538118484
-
- Emergency Medicine Physician
- Doral, FL
- NPI 1154097491
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1346792728
-
- Emergency Medicine Physician
- Plant City, FL
- NPI 1295083483
-
- Hospitalist Physician
- Denver, CO
- NPI 1093324659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1861820599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 HIGHLAND MANOR DR STE 205",
"city": "TAMPA",
"state": "FL",
"postal_code": "336109727",
"telephone_number": "813-259-1013",
"fax_number": "813-254-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10150 HIGHLAND MANOR DR STE 205",
"city": "TAMPA",
"state": "FL",
"postal_code": "336109727",
"telephone_number": "813-259-1013",
"fax_number": "813-254-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "MICHAEL",
"middle_name": "LORNE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-15",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA16601",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601012549",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107280",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0007710",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2840",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT",
"identifier": "PA.0007710",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.