SSLD GROUP CORP
NPI 1154207678
Clinic/Center in Miami Gardens, FL
About Ssld Group Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SSLD GROUP CORP (NPI 1154207678) is a healthcare organization registered as a clinic/center in Miami Gardens, Florida and active in the NPI registry since August 2025. The organization lists Surafel Kebede Gebreselassie, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ssld Group Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ssld Group Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ssld Group Corp's NPI number?
The NPI number for Ssld Group Corp is 1154207678. It was assigned to this organization in the NPPES registry on August 12, 2025.
Where is Ssld Group Corp located?
Ssld Group Corp is located at 4789 NW 167th St, Miami Gardens, FL 33055. The listed phone number is (305) 413-3863.
What is Ssld Group Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Ssld Group Corp enrolled in Medicare?
Yes. Ssld Group Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ssld Group Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Ssld Group Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ssld Group Corp was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ssld Group Corp · NPI 1154207678
Clinic/Center organization in Miami Gardens, Florida. Organization record, active in the CMS NPPES registry since August 12, 2025.
## Identity
- **NPI:** 1154207678 (Entity type: Organization)
- **Enumerated:** August 12, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Surafel Gebreselassie, PRESIDENT
## Practice location
- **Address:** 4789 NW 167TH ST, Miami Gardens, FL 33055-4242
- **Phone:** (305) 413-3863
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154207678) · Data from the CMS NPPES public registry.