Emilio P. Supsupin Jr., M.D.
NPI 1225069800ActiveIndividual· Radiology, Neuroradiology· Jacksonville, FL
Radiology, Neuroradiology (M.D.) with Ut Physicians and 1 other group, practicing in Jacksonville, Florida. Medicare paid $48,936 for services to 665 patients in 2024. Lists Memorial Hermann - Texas Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1225069800 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Mar 9, 2025 |
| Certified by provider | Mar 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Neuroradiology Primary | 2085N0700X | ME152526 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | N5422 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (FL); Practitioner - Diagnostic Radiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 665 |
|---|---|
| Services billed | 1,114 across 46 procedure codes |
| Paid by Medicare | $48,936 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Ut PhysiciansHouston, TX · 1,765 clinicians
- University of Florida Jacksonville Physicians, Inc.Jacksonville, FL · 910 clinicians
Hospital affiliations
- Memorial Hermann - Texas Medical CenterHouston, TX
- Shands JacksonvilleJacksonville, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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