SUSAN BAKER MD
NPI 1912979626
Pathology - Clinical Pathology/Laboratory Medicine in Miami, FL
NPI Status: Active since February 06, 2006
- Individual
- Female
- Pathology
- Clinical Pathology/Laboratory Medicine
- PECOS Enrolled
About SUSAN BAKER
This page provides the complete NPI Profile along with additional information for Susan Baker, a provider established in Miami, Florida with a medical specialization in Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1912979626 assigned on February 2006. The practitioner's primary taxonomy code is 207ZP0105X with license number ME46836 (FL). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1912979626
- Provider Name
- SUSAN BAKER MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1100 NW 95TH ST MIAMI, FL 33150
- Location Phone
- (305) 835-4725
- Mailing Address
- PO BOX 5040 HIALEAH, FL 33014
- Mailing Phone
- (305) 503-6320
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-06-2006
- Last Update Date
- 09-17-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Clinical Pathology/Laboratory Medicine
- Taxonomy Code
- 207ZP0105X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME46836
- License State
- FL
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ZC0500X | Allopathic & Osteopathic Physicians | Pathology | ME46836 (FL) |
| 2 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | ME46836 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D51398 | MEDICARE UPIN (02) | FL |
Medicare Participation & PECOS Enrollment Status
Susan Baker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Blood smear interpretation by physician with written report
Pathology examination of tissue using a microscope, intermediate complexity
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
This service was performed 30 times for 25 patientsA 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.
This service was performed 12 times for 12 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33150 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $141.56
- Minimum New Patient Price $60.92
- Maximum New Patient Price $187.05
- Average New Patient Copayment $35.39
- Minimum New Patient Copayment $15.23
- Maximum New Patient Copayment $46.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $107.17
- Minimum Established Patient Price $18.99
- Maximum Established Patient Price $150.24
- Average Established Patient Copayment $26.79
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.56
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 1 | 2 | 9 | 7 | 9 | 6 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 18 | 7 | 18 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 1 + 8 + 7 + 1 + 8 + 6 + 4 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1912979626 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548266059 | MS. DAYSI FARDALES ARNP Individual | Nurse Practitioner | 1100 NW 95TH ST MIAMI, FL 33150 (305) 835-6191 |
| 1740286731 | DR. MICHAEL MAI MD Individual | Emergency Medicine | 1100 NW 95TH ST MIAMI, FL 33150 (305) 835-6191 |
| 1205832888 | DR. MARC PLOTKIN MD Individual | Emergency Medicine | 1100 NW 95TH ST MIAMI, FL 33150 (305) 835-6191 |
| 1043218407 | DR. ANTONY FRIEDMAN MD Individual | Emergency Medicine | 1100 NW 95TH ST MIAMI, FL 33150 (305) 835-6191 |
| 1760470116 | DR. JOSEPH JOHN FLAGGE MD Individual | Emergency Medicine | 1100 NW 95TH ST NORTH SHORE MEDICAL CENTER ED MIAMI, FL 33150 (305) 835-6191 |
| 1043298763 | MARIE AHRENDTS PA Individual | Physician Assistant | 1100 NW 95TH ST EMERGENCY MEDICINE SPECIALISTS OF SOUTH FLORIDA MIAMI, FL 33150 (305) 835-6191 |
| 1407834138 | EMERGENCY MEDICINE SPECIALISTS OF SOUTH FLORIDA Organization | Emergency Medicine | 1100 NW 95TH ST EMERGENCY MEDICINE SPECIALISTS OF SOUTH FLORIDA MIAMI, FL 33150 (305) 835-6191 |
| 1326011784 | DR. ALVIN RUANGSOMBOON MD Individual | Emergency Medicine | 1100 NW 95TH ST MIAMI, FL 33150 (954) 462-5533 |
| 1134193634 | EAST COAST PATHOLOGY ASSOCIATES, PA Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 1100 NW 95TH ST MIAMI, FL 33150 (305) 835-4725 |
| 1730131566 | DR. VILMA TERESA PATINO-FLYNN M.D. Individual | General Practice | 1100 NW 95TH ST NORTH SHORE CANCER CENTER MIAMI, FL 33150 (305) 835-6173 |
| 1629013362 | RADM CORP Organization | Radiology (Radiation Oncology) | 1100 NW 95TH ST CANCER CENTER MIAMI, FL 33150 (305) 835-6173 |
| 1154418184 | MRS. CRISTINA CANTRES VASQUEZ RPH Individual | Pharmacist | 1100 NW 95TH ST PHARMACY MIAMI, FL 33150 (305) 835-6143 |
| 1841456597 | NORTH SHORE ANESTHESIOLOGY PARTNERS LLC Organization | Anesthesiology | 1100 NW 95TH ST SECOND FLOOR, ANESTHESIA DEPARTMENT MIAMI, FL 33150 (786) 514-6342 |
| 1457598278 | ALAIN PERLOW MD Individual | Radiology (Diagnostic Radiology) | 1100 NW 95TH ST MIAMI, FL 33150 (305) 694-3640 |
| 1245466986 | GARY C CHIERICO MD PA Organization | Internal Medicine (Pulmonary Disease) | 1100 NW 95TH ST MIAMI, FL 33150 (305) 785-7013 |
| 1538493853 | TENET FLORIDA PHYSICIAN SERVICES, LLC Organization | Pain Medicine (Pain Medicine) | 1100 NW 95TH ST 2ND FLOOR MIAMI, FL 33150 (305) 694-3409 |
| 1639483449 | SOUTH FLORIDA GROUP SERVICES LLC Organization | Emergency Medicine | 1100 NW 95TH ST MIAMI, FL 33150 (305) 835-6000 |
| 1013293927 | JENNY IVETTE MORALES-SOTOMAYOR CRNA Individual | Nurse Anesthetist, Certified Registered | 1100 NW 95TH ST MIAMI, FL 33150 (787) 662-5032 |
| 1508138264 | TANYA BETANCUR OTR/L Individual | Occupational Therapist | 1100 NW 95TH ST MIAMI, FL 33150 (305) 835-6155 |
| 1073869079 | SHERIDAN RADIOLOGY SERVICES OF KENTUCKY, INC Organization | Radiology (Diagnostic Radiology) | 1100 NW 95TH ST MIAMI, FL 33150 (305) 835-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912979626, enumerated in the NPI registry as an "individual" on February 06, 2006
The provider is located at 1100 Nw 95th St Miami, Fl 33150 and the phone number is (305) 835-4725
The provider's speciality is Pathology with taxonomy code 207ZP0105X with a focus in Clinical Pathology/Laboratory Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $141.56 with an average copayment of $35.39 for new patient appointments. Established patients should expect a typical charge of $107.17 and an average copayment of 26.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Blood smear interpretation by physician with written report and Pathology examination of tissue using a microscope, intermediate complexity.
This NPI record was last updated on February 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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