DR. LUIS DAVID SUMOZA MD
NPI 1003258583
Internal Medicine - Hematology in North Miami Beach, FL

Q: What is Luis Sumoza's NPI number?

The NPI number for Luis Sumoza is 1003258583. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Q: What is Luis Sumoza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Q: When was this NPI record last updated?

The NPPES record for Luis Sumoza was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2013PECOS EnrolledAccepts Medicare Assignment

92.39/100

CMS Quality Rating

100 NW 170TH ST STE 207, NORTH MIAMI BEACH, FL 33169(786) 785-7567(786) 785-7585 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Luis David Sumoza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS DAVID SUMOZA MD (NPI 1003258583) is an individual hematology provider in North Miami Beach, Florida, licensed in Florida (ME164064) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1003258583

Entity TypeIndividualMale

Primary Taxonomy207RH0000X

Provider Legal NameDR. LUIS DAVID SUMOZACredential: MD

Location Address100 NW 170TH ST STE 207North Miami Beach, FL 33169-5510

Mailing Address100 Nw 170th St Ste 207North Miami Beach, FL 33169-5510 · (786) 785-7567 · Fax (786) 785-7585

Phone(786) 785-7567

Fax(786) 785-7585

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJuly 24, 2013

Last NPPES UpdateJanuary 23, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1003258583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0000X

License✔ Licensed in FL · ME164064

Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036126207 (IL)

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License ME164064 (FL), 036126207 (IL)

100 NW 170TH ST STE 207, North Miami Beach, FL 33169

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Other Identifiers 1

Medicaid200084858MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis David Sumoza Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42432619

PECOS Enrollment IDI20230815000279

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.81

Promoting Interoperability

100

Improvement Activities

Cost

70.26

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 150 mg J8520

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers20 claims728 services$0.38 avg. paid by Medicare

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers25 claims2,240 services$0.69 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers19 claims19 services$17.89 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers22 claims26 services$12.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE ONCOLOGY INSTITUTE FL, LLC

Internal Medicine (Hematology & Oncology)

100 NW 170TH ST STE 207
NORTH MIAMI BEACH, FL 33169

Miami-Dade County (800) 370-5722

NABIL MATAR MD

Obstetrics & Gynecology

100 NW 170TH ST STE 207
NORTH MIAMI BEACH, FL 33169

Miami-Dade County (305) 651-8558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Sumoza's NPI number?

The NPI number for Luis Sumoza is 1003258583. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Where is Luis Sumoza located?

Luis Sumoza practices at 100 NW 170th St Ste 207, North Miami Beach, FL 33169. The listed phone number is (786) 785-7567.

What is Luis Sumoza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Luis Sumoza enrolled in Medicare?

Yes. Luis Sumoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luis Sumoza accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Luis Sumoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Luis Sumoza affiliated with any hospitals?

According to CMS data, Luis Sumoza is affiliated with Jackson Health System and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Luis Sumoza was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.