Individual provider Active NPI

Suhaib Kazmouz, MD

  • Pediatric Cardiology Physician
  • Baltimore, MD
National Provider Identifier
1053559559
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
D0099972 Issued in MD
Practice address
1800 Orleans St
Baltimore, MD 21287-0010
Phone
(410) 933-6423
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 036128233 IL
Pediatric Cardiology Physician 2080P0202X 65042 WI
Pediatric Cardiology Physician 2080P0202X D0099972 MD Primary
Hospitalist Physician 208M00000X 036128233 IL
Pediatrics Physician 208000000X 036128233 IL

Addresses

Primary practice location

1800 Orleans St
Baltimore, MD 21287-0010

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

600 Highland Ave
Madison, WI 53792-3619
Phone (608) 263-6420

Other practice location 2

1555 N Barrington Rd Floor 1
Hoffman Estates, IL 60169-1020
Phone (224) 299-4222

Other identifiers 1

IdentifierTypeStateIssuer
100042380MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20130802000850 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7113079104 Reassigns benefits to 5 organizations
I20170915002340 WI Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 7113079104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

2300 N Rockton Ave
Rockford, IL 61103-3619
Phone (815) 971-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65042WIMDPediatric Cardiology Physician
036128233ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince May 30, 2013 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Carle Health Care Incorporated CurrentSince Feb 24, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 30, 2017 Accepting new patients
Swedishamerican Hospital Pediatrics CurrentSince Oct 25, 2021 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Mercy Health System Corporation CurrentSince Jul 30, 2017 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Aug 28, 2023 Accepting new patients
Swedishamerican Hospital CurrentSince Oct 25, 2021 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 24, 2020 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Aug 28, 2023 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Nov 27, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 24, 2020 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

1555 N Barrington Rd
Bldg 1
Hoffman Estates, IL 60169
Phone (224) 299-4222

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
#1
Rockford, IL 61103

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: skazmouz172568@direct.aahs.org
  • Direct secure messaging: skazmouz40593@direct.mhemail.org
  • Direct secure messaging: skazmouzmd368360@carlehiedirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1053559559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-933-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537923619",
            "country_code": "US",
            "telephone_number": "608-263-6420",
            "fax_number": "608-265-8065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 N Barrington Rd Floor 1",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601691020",
            "country_code": "US",
            "telephone_number": "224-299-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZMOUZ",
        "first_name": "SUHAIB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036128233",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WI",
            "license": "65042",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MD",
            "license": "D0099972",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036128233",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036128233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100042380",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.