Individual provider Active NPI

Suhaila Nawabi, MD

  • Internal Medicine Physician
  • Greenbrae, CA
National Provider Identifier
1154516631
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A96383 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone
(415) 925-7000
NPI assigned
Sep 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A96383 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

250 Bon Air Rd
Greenbrae, CA 94904-1702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, VI2 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
I20110125000320 LA Practitioner - Internal Medicine 9638255961 Reassigns benefits to 3 organizations
I20220224001928 VI Practitioner - Internal Medicine 9638255961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Prohealth Urgent Care LLCGroup PAC ID 4385074160, 8 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

6040 Castle Coakley
Christiansted, VI 00820-5343
Phone 3402772096122

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

Final score
75.61 of 100Reported as group
Quality
47.85
Improvement activities
40
Cost
88.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96383CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jan 21, 2022 Accepting new patients
St. Bernard Physician Services, LLC CurrentSince Jan 19, 2019 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jan 21, 2022 Accepting new patients
Independence Emergency Group LLC CurrentSince Mar 18, 2016 Accepting new patients
Prohealth Urgent Care LLC CurrentSince Jul 11, 2024 Accepting new patients
Coolidge Physician Services LLC CurrentSince Jan 21, 2026 Accepting new patients

Locations

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

6040 Castle Coakley
Christiansted, VI 00820
Phone (305) 281-0684

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: suhaila.nawabi.1@20519.direct.athenahealth.com

Organizations & group practices 6

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1154516631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWABI",
        "first_name": "SUHAILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.