Individual provider Active NPI

David Gregory Suadi, DO

  • Diagnostic Radiology Physician
  • Bakersfield, CA
National Provider Identifier
1114911799
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
058894 Issued in FL
Practice address
4000 Empire Dr Ste 100
Bakersfield, CA 93309-0401
Phone
(661) 631-8000
Fax
(661) 631-8005
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 058894 FL Primary

Addresses

Primary practice location

4000 Empire Dr Ste 100
Bakersfield, CA 93309-0401

Mailing address

15900 Arabella Avenue
Bakersfield, CA 93314
Phone (661) 588-5196

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050906001077 CA Practitioner - Diagnostic Radiology 3476546508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockdale Radiology Physicians Services IncGroup PAC ID 6002046422, 3 clinicians

Practice addresses (Care Compare)

4000 Empire Dr
Suite 100
Bakersfield, CA 93309-0401
Phone (661) 631-8000

Hospital & facility affiliations

  • Good Samaritan Hospital, LP Hospital, Bakersfield, CA, CCN 050257

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
058894FLMDDiagnostic Radiology Physician
9263CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stockdale Radiology Physicians Services, Inc Diagnostic Radiology CurrentSince Jul 9, 2012 Accepting new patients
Lakewood-Manatee Radiology Consultants Past Accepting new patients
Apex Radiology Past Accepting new patients
Meridian Imaging, PA Diagnostic Radiology Past Accepting new patients
Lakewood Ranch Imaging Center Past Accepting new patients
Sharper Imaging Diagnostic Radiology Center Inc Past Accepting new patients
Truxtun Radiology Medical Group, L.P. PastSince Jun 1, 2010 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Meridian Radiology Associates PA Diagnostic Radiology Past Accepting new patients

Locations

4000 Empire Dr
Ste 100
Bakersfield, CA 93309
Phone (661) 395-0155

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

8933 Panama Rd
Ste 104
Lamont, CA 93241

333 S 10th St
Ste 104
Taft, CA 93268

Organizations & group practices 9

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 1

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1114911799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 ARABELLA AVENUE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93314",
            "telephone_number": "661-588-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EMPIRE DR STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090401",
            "telephone_number": "661-631-8000",
            "fax_number": "661-631-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUADI",
        "first_name": "DAVID",
        "middle_name": "GREGORY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "058894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.