MS. SUSANA AGUDELO-URIBE M.D.
NPI 1770932428
Pediatrics in Miami, FL

Active since June 03, 2016PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(314) 624-4601 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 17, 2023, Jun 10, 2022 (2 updates tracked since 2022).

About Ms. Susana Agudelo-uribe M.d. NPPES

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

MS. SUSANA AGUDELO-URIBE M.D. (NPI 1770932428) is an individual pediatrics provider in Miami, Florida, licensed in Florida (ME164445) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770932428
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. SUSANA AGUDELO-URIBECredential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005
Sole ProprietorNo
Enumeration DateJune 3, 2016
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1770932428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME164445✔ Licensed in VA · 0101263271
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.
1611 NW 12TH AVE, Miami, FL 33136

Other Names 1

Other Name (5)Ms. Susana Agudelo-uribe M.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susana Agudelo-uribe 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.

Medicare Billing Reassignment

Medicare enrollment records show Susana Agudelo-uribe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pulmonary Disease
1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Susana Agudelo-uribe's NPI number?

The NPI number for Susana Agudelo-uribe is 1770932428. It was assigned to this individual provider in the NPPES registry on June 3, 2016. The provider is also known as Ms. Susana Agudelo-Uribe M.D..

Where is Susana Agudelo-uribe located?

Susana Agudelo-uribe practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (314) 624-4601.

What is Susana Agudelo-uribe's specialty?

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

Is Susana Agudelo-uribe enrolled in Medicare?

Yes. Susana Agudelo-uribe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susana Agudelo-uribe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susana Agudelo-uribe reassigns Medicare benefits to University Of Miami (Miami, FL). The 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 Susana Agudelo-uribe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susana Agudelo-uribe accept?

Health plans from Oscar Health Maintenance Organization of Florida list Susana Agudelo-uribe 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 Susana Agudelo-uribe was last updated on August 17, 2023. 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.