Individual provider Active NPI

Michael Lorne Sussman, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1861820599
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107280 Issued in FL
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

Updated by the provider on May 4, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA.0007710OtherCOPHYSICIAN ASSISTANT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, DC, VA, TX, CO, OH, NV8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20140224000913 FL Practitioner - Physician Assistant 2769612514 Reassigns benefits to 4 organizations
I20230525001815 WA Practitioner - Physician Assistant 2769612514 Reassigns benefits to 1 organization
I20230601002388 DC Practitioner - Physician Assistant 2769612514
I20230601002782 VA Practitioner - Physician Assistant 2769612514 Reassigns benefits to 1 organization
I20230605000293 TX Practitioner - Physician Assistant 2769612514
I20230606000872 CO Practitioner - Physician Assistant 2769612514 Reassigns benefits to 1 organization
I20230731002469 OH Practitioner - Physician Assistant 2769612514
I20250416001420 NV Practitioner - Physician Assistant 2769612514

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.12 of 100Reported as group
Quality
83.29
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0007710COMDPhysician Assistant
PA9107280FLMDPhysician Assistant
5601012549MIMDPhysician Assistant
PA2840NVMDPhysician Assistant
PA16601TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Physician Services Southeast LLC CurrentSince Jun 2, 2025 Accepting new patients
Baxley Emergency Physicians LLC Past Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Redner Emergency Physicians, LLC Past Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 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.

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

Verify at the official NPI Registry.