DR. PETER A SUDACK DDS
NPI 1659691764
Dentist - General Practice in North Miami, FL

Active since June 11, 2010PECOS Enrolled
11645 BISCAYNE BLVD, SUITE 403, NORTH MIAMI, FL 33181(305) 538-8835(305) 938-4044 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter A Sudack Dds NPPES

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

DR. PETER A SUDACK DDS (NPI 1659691764) is an individual general practice provider in North Miami, Florida, licensed in Florida (DN19564) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659691764
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PETER A SUDACKCredential: DDS
Location Address11645 BISCAYNE BLVD, SUITE 403North Miami, FL 33181-3155
Mailing Address11645 Biscayne Blvd, Suite 403North Miami, FL 33181-3155 · (305) 538-8835 · Fax (305) 938-4044
Fax(305) 938-4044
Sole ProprietorYes
Enumeration DateJune 11, 2010
Last NPPES UpdateMarch 28, 2016
NPI 1659691764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in FL · DN19564 Licensed in NY · 055663
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11645 BISCAYNE BLVD, North Miami, FL 33181

Accepted 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)

Dr. Peter A Sudack Dds 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 33181 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
11645 BISCAYNE BLVD, SUITE 401, 403, 405
MIAMI, FL 33181
Pharmacist
11645 BISCAYNE BLVD
NORTH MIAMI, FL 33181
Obstetrics & Gynecology
11645 BISCAYNE BLVD, #307
NORTH MIAMI, FL 33181
Dentist
11645 BISCAYNE BLVD, 403
MIAMI, FL 33181
Psychologist
11645 BISCAYNE BLVD
NORTH MIAMI, FL 33181
Pediatrics (Adolescent Medicine)
11645 BISCAYNE BLVD, SUITE 103-104
NORTH MIAMI, FL 33181
Dentist (General Practice)
11645 BISCAYNE BLVD, SUITE 407
NORTH MIAMI, FL 33181
Dentist
11645 BISCAYNE BLVD, SUITE #406
NORTH MIAMI, FL 33181

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 Peter Sudack's NPI number?

The NPI number for Peter Sudack is 1659691764. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Peter Sudack located?

Peter Sudack practices at 11645 Biscayne Blvd Suite 403, North Miami, FL 33181. The listed phone number is (305) 538-8835.

What is Peter Sudack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Sudack enrolled in Medicare?

Yes. Peter Sudack is registered in the Medicare PECOS enrollment system.

What insurance does Peter Sudack accept?

Health plans from Solstice Benefits and UnitedHealthcare list Peter Sudack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Sudack was last updated on March 28, 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.