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

Q: 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.

Q: 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.

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: August 02, 2026.

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

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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 Steward North Shore Medical Center, 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

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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 AvMed, Molina Healthcare, Oscar Health Maintenance Organization of Florida 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

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.

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

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

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

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

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.

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