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SUSRUTHI RAJANALA PENUMAKA MD
NPI 1689202038
Dermatology in Miami, FL

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
1150 NW 14TH ST STE 503, MIAMI, FL 33136(305) 243-6704 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Jul 26, 2021, Jul 28, 2020 and 1 more (4 updates tracked since 2020).

About Susruthi Rajanala Penumaka Md NPPES

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

SUSRUTHI RAJANALA PENUMAKA MD (NPI 1689202038) is an individual dermatology provider in Miami, Florida, licensed in Florida (ME176501) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miami Beach, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1689202038
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSUSRUTHI RAJANALA PENUMAKACredential: MD
Location Address1150 NW 14TH ST STE 503Miami, FL 33136-2116
Mailing Address1600 Nw 10th Ave # 2023aMiami, FL 33136-1015 · (305) 243-4472
Phone(305) 243-6704
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateDecember 19, 20254 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1689202038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME176501
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1150 NW 14TH ST STE 503, Miami, FL 33136
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Secondary Practice Location 1

Location 11045 5th St Ste 305Miami Beach, FL 33139-6546 · Phone (305) 243-6704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susruthi Rajanala Penumaka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820417124
PECOS Enrollment IDI20251204001624
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 33136 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

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

DR. GABRIELA ESTHER BERAJA DO, MS
General Practice
1150 NW 14TH ST STE 503
MIAMI, FL 33136
Miami-Dade County (306) 689-3376

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 Susruthi Penumaka's NPI number?

The NPI number for Susruthi Penumaka is 1689202038. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Susruthi Penumaka located?

Susruthi Penumaka practices at 1150 NW 14th St Ste 503, Miami, FL 33136. The listed phone number is (305) 243-6704.

What is Susruthi Penumaka's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Susruthi Penumaka enrolled in Medicare?

Yes. Susruthi Penumaka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susruthi Penumaka was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.