Susana Leal-Khouri, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

ME46173 Issued in FL

Practice address

580 Crandon Blvd
# 101
Key Biscayne, FL 33149-1832

Phone

(305) 361-8200

Fax

(305) 572-7035

NPI assigned

Sep 22, 2005

Last updated

Feb 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Susana Leal-Khouri Professional name

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

Specialty

DermatologyAlso: Pathology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susana Leal Khouri MD PAGroup PAC ID 5193871838, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.14 of 100Reported as individual

Quality

68.27

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Susana Leal-Khouri, Mdpa

  • Dermatology Physician
  • Key Biscayne, FL
  • NPI 1275567133
  Medicare reassignment Care Compare group NPD Authorized official
• Skin Cancer Treatment Center

  • Specialist
  • Pembroke Pines, FL
  • NPI 1861509234
  Medicare reassignment NPD
• Khouri Laboratories, Inc

  • Dermatopathology Physician
  • Key Biscayne, FL
  • NPI 1518922004
  NPD (past) Authorized official
• Flor Mayoral-Vega MD PA

  • Dermatology Physician
  • South Miami, FL
  • NPI 1366557357
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1871589168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 CRANDON BLVD",
            "address_2": "# 101",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491832",
            "telephone_number": "305-361-8200",
            "fax_number": "305-572-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CRANDON BLVD",
            "address_2": "# 101",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491832",
            "telephone_number": "305-361-8200",
            "fax_number": "305-572-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL-KHOURI",
        "first_name": "SUSANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME46173",
            "primary": true
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "FL",
            "license": "ME46173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANA",
            "last_name": "LEAL-KHOURI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Key Biscayne Psychiatry
• Key Biscayne Surgery Center LLC
• Key Biscayne Surgical Center LLC
• Khouri Laboratories, Inc
• Michael Lawrence Landau, OD
• Leonard R. Levy, M.D.
• Christina Loisel, M.S.
• Sofia Lopez Molina
• Sloan Bruan Lorenzini, LCSW
• Luciana Lualdi, PA-C

• Dermatopathology Physician in Key Biscayne, FL
• Providers in Key Biscayne, FL by specialty
• Dermatopathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.

Verify at the official NPI Registry.