SOUFFRANTMD REHABMED CONSULTANTS PA
NPI 1790450450
Physical Medicine & Rehabilitation - Pain Medicine in West Melbourne, FL

Q: What is Souffrantmd Rehabmed Consultants PA's NPI number?

The NPI number for Souffrantmd Rehabmed Consultants PA is 1790450450. It was assigned to this organization in the NPPES registry on August 13, 2021.

Q: What is Souffrantmd Rehabmed Consultants PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Active since August 13, 2021

2795 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904(321) 622-8626 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 1, 2024, Jun 13, 2023, Dec 22, 2021 and 1 more (4 updates tracked since 2021).

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About Souffrantmd Rehabmed Consultants Pa NPPES

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

SOUFFRANTMD REHABMED CONSULTANTS PA (NPI 1790450450) is a healthcare organization registered as a pain medicine in West Melbourne, Florida and active in the NPI registry since August 2021. The organization lists Jean Guy-yoma Souffrant, Md, as its authorized official.

NPPES Registry Identity

NPI1790450450

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NameSOUFFRANTMD REHABMED CONSULTANTS PA

Location Address2795 W NEW HAVEN AVEWest Melbourne, FL 32904-3705

Mailing Address629 Hummingbird DrIndialantic, FL 32903-4772 · (440) 465-9363

Phone(321) 622-8626

Organization SubpartNo

Authorized OfficialJean Guy-yoma SouffrantMd · (440) 465-9363

Enumeration DateAugust 13, 2021

Last NPPES UpdateAugust 1, 20244 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1790450450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

2795 W NEW HAVEN AVE, West Melbourne, FL 32904

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Souffrantmd Rehabmed Consultants Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Souffrantmd Rehabmed Consultants PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jean Souffrant, MD

Physical Medicine and Rehabilitation

NPI 1669891040

2795 W NEW HAVEN AVE
West Melbourne, FL 32904

(321) 372-1765

✔ PECOS✔ Accepts MedicareSame address

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

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 Souffrantmd Rehabmed Consultants PA's NPI number?

The NPI number for Souffrantmd Rehabmed Consultants PA is 1790450450. It was assigned to this organization in the NPPES registry on August 13, 2021.

Where is Souffrantmd Rehabmed Consultants PA located?

Souffrantmd Rehabmed Consultants PA is located at 2795 W New Haven Ave, West Melbourne, FL 32904. The listed phone number is (321) 622-8626.

What is Souffrantmd Rehabmed Consultants PA's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Souffrantmd Rehabmed Consultants PA enrolled in Medicare?

Yes. Souffrantmd Rehabmed Consultants PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Souffrantmd Rehabmed Consultants PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Souffrantmd Rehabmed Consultants PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Souffrantmd Rehabmed Consultants PA was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.