Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith S. Susko, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1275595159

Keith S. Susko, MD is a Physical Medicine and Rehabilitation in Fort Myers, Florida. Graduated from Eastern Virginia Medical School in 1998, 28 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
28
Trained at
Eastern Virginia Medical School
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4977 Royal Gulf Cir
Fort Myers, FL 33966-7006
Phone: (239) 226-0077
Fax: (239) 489-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence ME85368 (FL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence ME85368 (FL)

Record details

NPI number1275595159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing addressPo Box 222, Estero, FL 33929-0222

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesGENERAL PRACTICE, PAIN MANAGEMENT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Myers