Individual provider Active NPI

Alex Suchorab, MD

  • Family Medicine Physician
  • Burton, MI
National Provider Identifier
1003485269
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351047683 Issued in MI
Practice address
1460 N Center Rd
Burton, MI 48509-1429
Phone
(810) 715-4300
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351047683 MI Primary

Addresses

Primary practice location

1460 N Center Rd
Burton, MI 48509-1429

Mailing address

1460 N Center Rd
Burton, MI 48509-1429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004243 MI Practitioner - Family Practice 4981009925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

193 E Jefferson St
Frankenmuth, MI 48734-1935

9900 Birch Run Rd
Birch Run, MI 48415-9609
Phone (989) 624-1500

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Family Medicine Current Accepting new patients
Mymichigan Medical Center Saginaw Family Medicine CurrentSince Jul 9, 2024 Accepting new patients
Mymichigan Medical Center Tawas Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jul 9, 2024 Accepting new patients
Mymichigan Medical Center Tawas Current Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Nov 1, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

9900 Birch Run Rd
Birch Run, MI 48415
Phone (989) 624-1500

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

325 E M 55
Ste B
Tawas City, MI 48763
Phone (989) 362-4626

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

Interoperability endpoints

  • Direct secure messaging: alex.suchorab.1@11016.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1003485269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091429",
            "telephone_number": "810-715-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHORAB",
        "first_name": "ALEX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351047683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.