DR. CRAIG BRADLEY SUSSMAN M.D.
NPI 1326100736
Pediatrics - Neonatal-Perinatal Medicine in Jacksonville, FL

Q: What is Craig Sussman's NPI number?

The NPI number for Craig Sussman is 1326100736. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Craig Sussman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Craig Sussman was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 14, 2006PECOS Enrolled

3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 339-6111 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Craig Bradley Sussman M.d. NPPES

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

DR. CRAIG BRADLEY SUSSMAN M.D. (NPI 1326100736) is an individual neonatal-perinatal medicine provider in Jacksonville, Florida, licensed in Florida (100922) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326100736

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. CRAIG BRADLEY SUSSMANCredential: M.D.

Location Address3625 UNIVERSITY BLVD SJacksonville, FL 32216-4207

Mailing Address1500 Concord TerSunrise, FL 33323-2815 · (800) 243-3839 · Fax (954) 858-0404

Phone(904) 339-6111

Sole ProprietorNo

Enumeration DateDecember 14, 2006

Last NPPES UpdateJune 24, 2014

✔ NPI 1326100736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in FL · 100922

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 100922 (FL)

3625 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Craig Bradley Sussman M.d. 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.

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.

LINDSAY MICHELLE PUTKOWSKI CRNA

Nurse Anesthetist, Certified Registered

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

KENNETH AUNG-DIN MD

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 399-6811

MRS. GLORIANNE BOYD RD,LD/N

Dietitian, Registered

3625 UNIVERSITY BLVD S, BARIATRIC DEPARTMENT
JACKSONVILLE, FL 32216

Duval County (904) 399-6313

PETER LOUIS KOVACS MD

Anesthesiology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 421-2119

NAKISH DANIELLE GRANT M.D.

General Practice

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6111

SUMMIT EMERGENCY PHYSICIANS, LLC

Emergency Medicine

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (469) 401-2386

KELLY MICHELLE DEWIT PHARMD

Pharmacist

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6160

DR. JUDY BOWERS M.D.

Obstetrics & Gynecology

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 702-6850

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 Craig Sussman's NPI number?

The NPI number for Craig Sussman is 1326100736. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Craig Sussman located?

Craig Sussman practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 339-6111.

What is Craig Sussman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Craig Sussman enrolled in Medicare?

Yes. Craig Sussman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Craig Sussman was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.