EILEEN NIKKO SUPER MD
NPI 1124465067
Surgery in Miramar, FL

Q: What is Eileen Super's NPI number?

The NPI number for Eileen Super is 1124465067. It was assigned to this individual provider in the NPPES registry on June 2, 2013.

Q: What is Eileen Super's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Eileen Super was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 02, 2013PECOS Enrolled

80.96/100

CMS Quality Rating

3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027(877) 866-7123(855) 855-2792 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2016, Mar 23, 2016, Oct 4, 2015 (3 updates tracked since 2015).

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About Eileen Nikko Super Md NPPES

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

EILEEN NIKKO SUPER MD (NPI 1124465067) is an individual surgery provider in Miramar, Florida, licensed in Georgia (74602) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124465067

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameEILEEN NIKKO SUPERCredential: MD

Location Address3601 SW 160TH AVE, SUITE 250Miramar, FL 33027-6308

Mailing Address936 Broad St, Unit 303Augusta, GA 30901-8200 · (801) 916-1782

Phone(877) 866-7123

Fax(855) 855-2792

Sole ProprietorNo

Enumeration DateJune 2, 2013

Last NPPES UpdateAugust 26, 20163 updates tracked since enumeration

✔ NPI 1124465067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 74602

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 74602 (GA)

3601 SW 160TH AVE, Miramar, FL 33027

Open in Google Maps ↗

Other Identifiers 1

Other74602GA · Georgia Composite Medical Board

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eileen Nikko Super Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Eileen Super reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Post Acute Care Clinicians, LLC

Same address

Family Medicine

3601 SW 160TH AVE STE 250
Miramar, FL 33027

Reassigned Medicare billing, Florida enrollment
88 clinicians in this Medicare group

NPI 1043760473 (877) 866-7123

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

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.

80.96/100

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

Scored as part of a group practice

Quality

78.44

Promoting Interoperability

100

Improvement Activities

Cost

24.77

Referred Medical Equipment & Supplies CMS DME claims 3

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers17 claims487 services$7.11 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier36 claims720 services$9.35 avg. paid by Medicare

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222

DME-Medical/Surgical Supplies · category DA023N

1 supplier28 claims855 services$2.01 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 20

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

DR. HAYRIYE BERIL GOK M.D.

Family Medicine

3601 SW 160TH AVE, STE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

DR. TOAN HUU LE M.D.

Family Medicine

3601 SW 160TH AVE, STE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

DR. SURYANARAYAN JAIRAJ MD

Family Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

GUSTAVO P CAMARANO MD

Internal Medicine (Cardiovascular Disease)

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

DR. TERESA M ELLIOTT MD

Family Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

ANDREA C. DORY MD

Family Medicine

3601 SW 160TH AVE, SUITE #250
MIRAMAR, FL 33027

Broward County (305) 866-9951

DR. LIRON BELTZER M.D.

Family Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (954) 399-4642

VICKI TSAI M.D.

Family Medicine

3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027

Broward County (877) 866-7123

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 Eileen Super's NPI number?

The NPI number for Eileen Super is 1124465067. It was assigned to this individual provider in the NPPES registry on June 2, 2013.

Where is Eileen Super located?

Eileen Super practices at 3601 SW 160th Ave Suite 250, Miramar, FL 33027. The listed phone number is (877) 866-7123.

What is Eileen Super's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Eileen Super enrolled in Medicare?

Yes. Eileen Super is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eileen Super's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Super reassigns Medicare benefits to Florida Post Acute Care Clinicians, LLC (Miramar, 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 Eileen Super'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 Eileen Super was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.