SULMA BARBARA MOREDO LOO
NPI 1104676659
General Practice in Cutler Bay, FL
About Sulma Barbara Moredo Loo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SULMA BARBARA MOREDO LOO (NPI 1104676659) is an individual general practice provider in Cutler Bay, Florida, licensed in Florida (OS23596) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sulma Barbara Moredo Loo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sulma Moredo Loo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33190
- Reassigned Medicare billing, Florida enrollment
- 144 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
CUTLER BAY, FL 33190
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 Sulma Moredo Loo's NPI number?
The NPI number for Sulma Moredo Loo is 1104676659. It was assigned to this individual provider in the NPPES registry on March 26, 2024.
Where is Sulma Moredo Loo located?
Sulma Moredo Loo practices at 10300 SW 216th St, Cutler Bay, FL 33190. The listed phone number is (305) 252-4820.
What is Sulma Moredo Loo's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Sulma Moredo Loo enrolled in Medicare?
Yes. Sulma Moredo Loo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sulma Moredo Loo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sulma Moredo Loo reassigns Medicare benefits to Community Health Of South Florida Inc (Miami, FL). The 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 Sulma Moredo Loo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sulma Moredo Loo was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Sulma Barbara Moredo Loo · NPI 1104676659
General Practice physician in Cutler Bay, Florida. Individual provider, active in the CMS NPPES registry since March 26, 2024.
## Identity
- **NPI:** 1104676659 (Entity type: Individual)
- **Enumerated:** March 26, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** OS23596 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10300 SW 216TH ST, Cutler Bay, FL 33190-1003
- **Phone:** (305) 252-4820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Health Of South Florida Inc (NPI 1336152347, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Nova Southeastern College Of Osteo Medicine, class of 2024
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104676659) · Data from the CMS NPPES public registry.