Individual provider Active NPI

Suzanne Rizkalla, M.D.

  • Internal Medicine Physician
  • Loma Linda, CA
National Provider Identifier
1043324742
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A55643 Issued in CA
Practice address
25815 Barton Road Ste C102
Loma Linda, CA 92354-3857
Phone
(909) 478-1100
Fax
(909) 478-0618
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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 7

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25815 Barton Rd
C102
Loma Linda, CA 92354-3857

25815 Barton Rd
Suite C102
Loma Linda, CA 92354-3893
Phone (909) 478-1100

Hospital & facility affiliations

  • Optima Care Home Health Services Inc Home health agency, Ontario, CA, CCN 059099
  • Mission Home Health of Ontario, Inc Home health agency, Ontario, CA, CCN 559309
  • Angelus Home Health Home health agency, Ontario, CA, CCN 059602
  • Vanura Home Health Services, Inc Home health agency, Rancho Cucamonga, CA, CCN 058181
  • Careomatic, Inc. Home health agency, Temecula, CA, CCN 757576
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272

Merit-based Incentive Payment System (MIPS)

Final score
24.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Skin biopsy1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20061101000292 CA Practitioner - Internal Medicine 4880691096 Practice locations: Loma Linda, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A55643CAMDInternal Medicine Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Dr Soliman and Dr Rizkalla Hospitalis Past Accepting new patients
Soliman-Rizkalla Clinic, Inc. Internal Medicine PastSince Jun 14, 2018 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A55643 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

25815 Barton Road Ste C102
Loma Linda, CA 92354-3857

Mailing address

25815 Barton Road Ste C102
Loma Linda, CA 92354-3857
Phone (909) 478-1100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00A556430MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2012.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1043324742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25815 BARTON ROAD STE C102",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543857",
            "telephone_number": "909-478-1100",
            "fax_number": "909-478-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25815 BARTON ROAD STE C102",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543857",
            "telephone_number": "909-478-1100",
            "fax_number": "909-478-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZKALLA",
        "first_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A556430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.