IndividualActiveAccepts Medicare

Michael Sussman, PA-C

NPI 1861820599 · Physician Assistant · Tampa, FL

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1861820599
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: Yes
License: PA16601 (TX)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense PA9107280 (FL)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense PA16601 (TX)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 5601012549 (MI)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense PA.0007710 (CO)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense PA2840 (NV)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

10150 Highland Manor Dr Ste 205

Tampa, FL 33610-9727

Phone: (813) 259-1013

Fax: (813) 254-0396

Street-level locationGet directions

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Mailing address