DILSA MARIE SOUFFRANT DO
NPI 1639638919
Pediatrics in Vero Beach, FL

Q: What is Dilsa Souffrant's NPI number?

The NPI number for Dilsa Souffrant is 1639638919. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Q: What is Dilsa Souffrant's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Dilsa Souffrant was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 17, 2019PECOS Enrolled

1545 9TH ST SW, VERO BEACH, FL 32962(772) 257-8224(772) 213-3157 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 30, 2022, Mar 17, 2019 (2 updates tracked since 2019).

On this page

About Dilsa Marie Souffrant Do NPPES

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

DILSA MARIE SOUFFRANT DO (NPI 1639638919) is an individual pediatrics provider in Vero Beach, Florida, licensed in Florida (OS18704) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vero Beach.

NPPES Registry Identity

NPI1639638919

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDILSA MARIE SOUFFRANTCredential: DO

Location Address1545 9TH ST SWVero Beach, FL 32962-4312

Mailing Address1545 9th St SwVero Beach, FL 32962-4312 · (772) 257-8224 · Fax (772) 213-3157

Phone(772) 257-8224

Fax(772) 213-3157

Sole ProprietorYes

Enumeration DateMarch 17, 2019

Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1639638919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in FL · OS18704✔ Licensed in FL · TRAINEE

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1545 9TH ST SW, Vero Beach, FL 32962

Open in Google Maps ↗

Secondary Practice Location 1

Location 11553 US Highway 1Vero Beach, FL 32960-5735 · Phone (772) 257-8224 · Fax (772) 213-3157

Other Identifiers 1

Medicaid114201500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 (PECOS)

Dilsa Marie Souffrant Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32962 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

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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. MARK GAPONIUK D.M.D

Dentist