Abdul Shaheed Soudan, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

D0063349 Issued in MD

Practice address

7120 Minstrel Way
Ste 106
Columbia, MD 21045-5248

Phone

(410) 290-9191

Fax

(410) 290-7330

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Interventional Pain Management

Education

Boston University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Pain Management, LLCGroup PAC ID 0547246555, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asoudan@treatingpain.emadirect.md

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.

• Center for Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Hagerstown, MD
  • NPI 1962463265

  DC

  Medicare reassignment Care Compare group NPD
• ASC Development Company, LLC

  • Ambulatory Surgical Clinic/Center
  • Bowie, MD
  • NPI 1225286354
  NPD (past)
• ASC Development Company, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbia, MD
  • NPI 1407004534
  NPD (past)
• Center for Pain Management, LLC

  • Pain Clinic/Center
  • Rockville, MD
  • NPI 1386885119
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1013939198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-290-9191",
            "fax_number": "410-290-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY",
            "address_2": "STE 106",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455248",
            "telephone_number": "410-290-9191",
            "fax_number": "410-290-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDAN",
        "first_name": "ABDUL",
        "middle_name": "SHAHEED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "D0063349",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0063349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asoudan@treatingpain.emadirect.md",
            "affiliation": "N",
            "address_1": "7120 Minstrel Way",
            "address_2": "Ste 106",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210455248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nemahun Aminata Songu-Mbriwa
• Vivek Sood, MD
• Rebecca T Soper, LGPC
• Lawrence Fredric Sorkin, M.D.
• Bryan Anthony Soto, RBT
• Emily Eason Souder, LCSW-C
• South Atlantic Hearing LLC
• Jody Southall, M.AC., L.AC.
• Julie Renea Southard
• Julia Southern, LCPC, NCC

• Interventional Pain Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Interventional Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.