SUSANA LEAL-KHOURI MD
NPI 1871589168
Dermatology - Dermatopathology in Key Biscayne, FL

Q: What is Susana Leal-khouri's NPI number?

The NPI number for Susana Leal-khouri is 1871589168. It was assigned to this individual provider in the NPPES registry on September 22, 2005. The provider is also known as Dr. Susana Leal-Khouri MD.

Q: What is Susana Leal-khouri's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment

98.33/100

CMS Quality Rating

580 CRANDON BLVD, # 101, KEY BISCAYNE, FL 33149(305) 361-8200(305) 572-7035 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Susana Leal-khouri Md NPPES

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

SUSANA LEAL-KHOURI MD (NPI 1871589168) is an individual dermatopathology provider in Key Biscayne, Florida, licensed in Florida (ME46173) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1871589168

Entity TypeIndividualFemale

Primary Taxonomy207ND0900X

Provider Legal NameSUSANA LEAL-KHOURICredential: MD

Location Address580 CRANDON BLVD, # 101Key Biscayne, FL 33149-1832

Mailing Address580 Crandon Blvd, # 101Key Biscayne, FL 33149-1832 · (305) 361-8200 · Fax (305) 572-7035

Phone(305) 361-8200

Fax(305) 572-7035

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateSeptember 22, 2005

Last NPPES UpdateFebruary 10, 2016

✔ NPI 1871589168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

License✔ Licensed in FL · ME46173

Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X · License ME46173 (FL)

580 CRANDON BLVD, Key Biscayne, FL 33149

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Other Names 1

Professional Name (2)Dr. Susana Leal-khouri Md

Other Identifiers 2

Medicare ID-Type Unspecified02519VFL

Medicare UPIND50545FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susana Leal-khouri 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 ID4385686476

PECOS Enrollment IDI20050601000168

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 Reassignments

Medicare enrollment records show Susana Leal-khouri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Susana Leal-Khouri, Mdpa

Same address

Dermatology

580 CRANDON BLVD#101
Key Biscayne, FL 33149

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Susana Leal Khouri MD PA
9 clinicians in this Medicare group

NPI 1275567133 (305) 361-8200

Skin Cancer Treatment Center

23 mi

Specialist

10001 PINES BLVD
Pembroke Pines, FL 33024

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1861509234 (954) 436-5625

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

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,442 services237 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

905 services545 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

378 services274 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

374 services285 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

339 services237 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

220 services188 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

166 services139 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

159 services111 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

117 services117 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

73 services55 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

63 services48 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

62 services42 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

58 services56 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

57 services53 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

35 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

24 services24 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

21 services19 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

17 services15 patients

Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks 17314

This procedure involves removing growths from the trunk, arms, or legs. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any abnormalities. This aids in diagnosing and treating your condition effectively.

16 services14 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

15 services12 patients

Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm 11401

This procedure involves the removal of a noncancerous skin growth on your body, arms, or legs. The growth is between 0.6-1.0 cm in size. It's typically a simple process where the growth is cut away and the area is then stitched up for healing.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33149 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

96.66

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%5,594 patients5/55-star benchmark: 100%

Melanoma: Continuity of Care - Recall System

100%195 patients

Melanoma: Coordination of Care

100%36 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 3,937 patients

Patients screened: 95% · 3,937 patients

51%82 patients3/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

100%265 patients5/55-star benchmark: 100%

Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy

96%24 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

MIAMI BREAST CENTER LLC

Specialist

580 CRANDON BLVD, 1ST FLOOR
KEY BISCAYNE, FL 33149

Miami-Dade County (305) 365-5595

DR. RICHARD D NADAL MD

Plastic Surgery

580 CRANDON BLVD, SUITE 102
KEY BISCAYNE, FL 33149

Miami-Dade County (305) 365-5595

NATALIA FREITAS CORDEIRO PA-C

Physician Assistant

580 CRANDON BLVD
KEY BISCAYNE, FL 33149

Miami-Dade County (305) 365-5595

KEY BISCAYNE SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

580 CRANDON BLVD, SUITE #301
KEY BISCAYNE, FL 33149

Miami-Dade County (305) 365-7770

MIAMI PLASTIC SURGERY CENTER LLC

Surgery (Plastic and Reconstructive Surgery)

580 CRANDON BLVD, 201
KEY BISCAYNE, FL 33149

Miami-Dade County (305) 365-7770

KEY ANESTHESIA LLC

Specialist

580 CRANDON BLVD, SUITE 201
KEY BISCAYNE, FL 33149

Miami-Dade County (305) 365-7770

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 Leal-khouri's NPI number?

The NPI number for Susana Leal-khouri is 1871589168. It was assigned to this individual provider in the NPPES registry on September 22, 2005. The provider is also known as Dr. Susana Leal-Khouri MD.

Where is Susana Leal-khouri located?

Susana Leal-khouri practices at 580 Crandon Blvd # 101, Key Biscayne, FL 33149. The listed phone number is (305) 361-8200.

What is Susana Leal-khouri's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Susana Leal-khouri enrolled in Medicare?

Yes. Susana Leal-khouri 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.

Which organizations bill Medicare for Susana Leal-khouri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susana Leal-khouri reassigns Medicare benefits to 2 organizations: Susana Leal-Khouri, Mdpa (Key Biscayne, FL) and Skin Cancer Treatment Center (Pembroke Pines, FL). Each 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 Leal-khouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susana Leal-khouri accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Susana Leal-khouri 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 Leal-khouri was last updated on February 10, 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.