Active NPI
Suhad Yaldo, MD
- Pediatrics Physician
- Birmingham, MI
National Provider Identifier
1164404224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301076166
- Practice address
- 511 Pierce St Ste C
Birmingham, MI 48009-1790 - Phone
- (248) 541-2222
- Fax
- (248) 541-7734
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301076166 | MI | Primary |
Addresses
Primary practice location
511 Pierce St Ste C
Birmingham, MI 48009-1790
Mailing address
511 Pierce St Ste C
Birmingham, MI 48009-1790
Phone (248) 541-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4779689 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301076166 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Roumayah-Popovic, P.C. | Past | Accepting new patients | |
| Suhad Yaldo MD PLLC | Pediatrics | Past | Accepting new patients |
Locations
3601 W 13 Mile Rd
Royal Oak, MI 48073
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- syaldo1262506@epic00.shdirect.org
- suhad.yaldo.1@20367.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
dba Children's Care Medical Center
- Pediatrics Physician
- Royal Oak, MI
- NPI 1972014074
-
dba Children's Care Medical Center
- Clinic/Center
- Royal Oak, MI
- NPI 1427120807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1164404224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 PIERCE ST STE C",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091790",
"telephone_number": "248-541-2222",
"fax_number": "248-541-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 PIERCE ST STE C",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091790",
"telephone_number": "248-541-2222",
"fax_number": "248-541-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YALDO",
"first_name": "SUHAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301076166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4779689",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.