Ali Soueidan, M.D

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

24151 Issued in WV

Practice address

640 S Trumbull St
Bay City, MI 48708-7656

Phone

(989) 893-7460

Fax

(989) 895-5813

NPI assigned

Jun 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consultants in Sleep and Pulmonary Medicine PLLCGroup PAC ID 1658333125, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Merit-based Incentive Payment System (MIPS)

Final score

22.84 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.13

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: soueidan.ali.002.0220038@bpa.meditab.direct-ci.com
• Direct secure messaging: asoueidan1152064@direct.hfhs.org

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Wolinski

  • Family Nurse Practitioner
  • Bay City, MI
  • NPI 1760847883
  Medicare reassignment

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.

• Consultants in Sleep & Pulmonary Medicine PLLC

  • Pulmonary Disease Physician
  • Farmington Hills, MI
  • NPI 1740353069

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• New York Community Hospital of Brooklyn, Inc.

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1205840055

  Pulmonary Disease

  NPD (past)

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

• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253
  Care Compare affiliation
• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1053517540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087656",
            "telephone_number": "989-893-7460",
            "fax_number": "989-895-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087656",
            "telephone_number": "989-893-7460",
            "fax_number": "989-895-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUEIDAN",
        "first_name": "ALI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WV",
            "license": "24151",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "24151",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018693",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00858195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Songer, DC
• Kristin Mary Sopczynski
• Kendra Osepchuk Sosa
• Tressa Sosnowski
• Cynthia Kay Soto, LMSW ACSW CACI
• Jenna Soulliere
• Zackary Soulliere
• Anne Sous
• Jessica Marie Sova
• Jordan Sova

• Pulmonary Disease Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.