Individual provider Active NPI

Ahmed Sirageldin Suliman, MD

  • Plastic Surgery Physician
  • San Diego, CA
National Provider Identifier
1013169085
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A88033 Issued in CA
Practice address
200 W Arbor Dr # 8890
San Diego, CA 92103-1911
Phone
(619) 294-3746
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A88033 CA
Plastic Surgery Physician 208200000X A88033 CA Primary

Addresses

Primary practice location

200 W Arbor Dr # 8890
San Diego, CA 92103-1911

Mailing address

200 W Arbor Dr # 8890
San Diego, CA 92103-1911
Phone (619) 543-6084

Other practice location 1

7920 Frost St Ste 200
San Diego, CA 92123-4289
Phone (858) 966-4013

Other practice location 2

4520 Executive Dr Ste 100
San Diego, CA 92121-3019
Phone (619) 543-6084

Other practice location 3

3350 La Jolla Village Dr
San Diego, CA 92161-1911
Phone (858) 552-8585

Other identifiers 1

IdentifierTypeStateIssuer
00A880330MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110628000648 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Other (Physician) 6305024084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Boston University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 249-6753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy11
Melanoma (skin cancer) excision1-10
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88033CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2011 Accepting new patients
Rady Children's Hospital San Diego CurrentSince Mar 1, 2022 Accepting new patients
Rady Children's Hospital San Diego CurrentSince Mar 1, 2022 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2011 Accepting new patients
County of Los Angeles Current Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 966-7453

3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841

200 W Arbor Dr
#8890
San Diego, CA 92103
Phone (619) 294-3746

7920 Frost St
Ste 200
San Diego, CA 92123
Phone (858) 966-4013

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

4520 Executive Dr
San Diego, CA 92121
Phone 8584505900103

4520 Executive Dr
Ste 100
San Diego, CA 92121
Phone (619) 543-6084

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

200 W Arbor Dr
#8220
San Diego, CA 92103
Phone (619) 471-3859

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1013169085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # 8890",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031911",
            "telephone_number": "619-543-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # 8890",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031911",
            "telephone_number": "619-294-3746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7920 Frost St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234289",
            "country_code": "US",
            "telephone_number": "858-966-4013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 Executive Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921213019",
            "country_code": "US",
            "telephone_number": "619-543-6084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 La Jolla Village Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921611911",
            "country_code": "US",
            "telephone_number": "858-552-8585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULIMAN",
        "first_name": "AHMED",
        "middle_name": "SIRAGELDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A88033",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A88033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A880330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.