Individual provider Active NPI

Mohammad Nader Suleiman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1114474236
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
32637R Issued in PR
Practice address
1441 Calle J Ferrer Y Ferrer
San Juan, PR 00921-4155
Phone
(787) 528-7121
NPI assigned
Sep 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 32637R PR Primary

Addresses

Primary practice location

1441 Calle J Ferrer Y Ferrer
San Juan, PR 00921-4155

Mailing address

1441 Calle J Ferrer Y Ferrer
San Juan, PR 00921-4155
Phone (787) 528-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20190930002008 PR Practitioner - Pathology 9032449319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Pathology Services IncGroup PAC ID 7214259506, 11 clinicians

Practice addresses (Care Compare)

Parque Industrial Sabaneta
Ponce, PR 00716
Phone (787) 841-8645

Hospital & facility affiliations

  • Hospital Perea Hospital, Mayaguez, PR, CCN 400123
  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044
  • Mayaguez Medical Center Dr Ramon Emeterio Betances Hospital, Mayaguez, PR, CCN 400103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32637RPRMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pathology Services, Inc. CurrentSince Jul 14, 2019 Accepting new patients
Southern Pathology Services, Inc. CurrentSince Jul 14, 2019 Accepting new patients

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 3

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1114474236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 CALLE J FERRER Y FERRER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214155",
            "telephone_number": "787-528-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CALLE J FERRER Y FERRER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214155",
            "telephone_number": "787-528-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEIMAN",
        "first_name": "MOHAMMAD",
        "middle_name": "NADER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "32637R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.