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SUSSEL GANDUR MARTINEZ ARNP
NPI 1104490838
Nurse Practitioner - Critical Care Medicine in Miami, FL

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
8900 N KENDALL DR, MIAMI, FL 33176(305) 928-7249(305) 630-3632 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2024, Dec 23, 2021, Nov 15, 2021 and 1 more (4 updates tracked since 2021).

About Sussel Gandur Martinez Arnp NPPES

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

SUSSEL GANDUR MARTINEZ ARNP (NPI 1104490838) is an individual critical care medicine provider in Miami, Florida, licensed in Florida (APRN11008348) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1104490838
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameSUSSEL GANDUR MARTINEZCredential: ARNP
Location Address8900 N KENDALL DRMiami, FL 33176-2197
Mailing Address6021 Nw 201st StHialeah, FL 33015-4889 · (786) 503-9520
Phone(305) 928-7249
Fax(305) 630-3632
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 17, 2021
Last NPPES UpdateJuly 11, 20244 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1104490838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in FL · APRN11008348
8900 N KENDALL DR, Miami, FL 33176
Open in Google Maps ↗

Secondary Practice Location 1

Location 120814 W Dixie HwyMiami, FL 33180-1147 · Phone (305) 933-8433 ext. 8102

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sussel Gandur Martinez Arnp 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 ID1850780784
PECOS Enrollment IDI20211116000987
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sussel Gandur Martinez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
0.7 mi
Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1912956566 (305) 243-7688
South Florida Critical Care Services LLC
5.8 mi
Critical Care Medicine
8370 W FLAGLER ST STE 226
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 234 clinicians in this Medicare group
NPI 1306354626 (305) 928-7249

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
77 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
76 services42 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

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100029
Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 20

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

DR. GLADYS LINDA GIRON M.D.
Surgery (Surgical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-2000
CLAUDIA PAULINA GUZMAN PA-C
Physician Assistant
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-2000
DR. JUSTIN MATTHEW RAFAEL MD
Radiology (Diagnostic Radiology)
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-1960
DR. SHEENA MEHTA ZAPATA M.D.
Internal Medicine (Hospice and Palliative Medicine)
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (789) 596-2000
DR. ANNA PRISCILA DOMINGUEZ ESPAILLAT M.D.
Obstetrics & Gynecology
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-1960
SARBAJIT MUKHERJEE
Internal Medicine (Medical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-2000
RAJIV DODDAMANI
Hospitalist
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-6743
ARELIS M RIVERA ARNP
Nurse Practitioner (Family)
8900 N KENDALL DR, MIAMI CANCER INSTITUTE
MIAMI, FL 33176
Miami-Dade County (786) 596-2000

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 Sussel Gandur Martinez's NPI number?

The NPI number for Sussel Gandur Martinez is 1104490838. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Sussel Gandur Martinez located?

Sussel Gandur Martinez practices at 8900 N Kendall Dr, Miami, FL 33176. The listed phone number is (305) 928-7249.

What is Sussel Gandur Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Sussel Gandur Martinez enrolled in Medicare?

Yes. Sussel Gandur Martinez 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.

Which organizations bill Medicare for Sussel Gandur Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sussel Gandur Martinez reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and South Florida Critical Care Services LLC (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sussel Gandur Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sussel Gandur Martinez accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sussel Gandur Martinez 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 Sussel Gandur Martinez affiliated with any hospitals?

According to CMS data, Sussel Gandur Martinez is affiliated with Jackson Health System and Steward North Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Sussel Gandur Martinez was last updated on July 11, 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.