Active NPI
Suad Khalil, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 4301096493
- Practice address
- 804 Service Rd Ste A217
East Lansing, MI 48824-7015 - Phone
- (517) 353-8122
- Fax
- (517) 432-3713
- NPI assigned
- Aug 30, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301096493 | MI | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 4301096493 | MI | Primary |
Addresses
Primary practice location
804 Service Rd Ste A217
East Lansing, MI 48824-7015
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 353-8122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164738043 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
804 Service Rd
East Lansing, MI 48824-7015
Phone (517) 353-8122
Hospital & facility affiliations
- McLaren Greater Lansing
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096493 | MI | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc. | Current | Accepting new patients | |
| Capital Area Pathologists, PC | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Pediatrics | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Msu Health Care Inc. | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Past | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients | |
| Michigan State University | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
804 Service Rd
#A201
East Lansing, MI 48824
Phone (517) 884-2976
804 Service Rd
Ste A217
East Lansing, MI 48824
Phone (517) 353-8122
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Rm A217
East Lansing, MI 48824
Phone (517) 353-8122
804 Service Rd
#A217
East Lansing, MI 48824
Phone (517) 353-8122
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
Interoperability endpoints
- skhalil3678@sparrowdirecthie.org
- suad.khalil.1@25394.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1891747614
-
- Anatomic Pathology & Clinical Pathology Physician
- Lansing, MI
- NPI 1417049925
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Surgery Physician
- East Lansing, MI
- NPI 1699725895
-
- Neurology Physician
- East Lansing, MI
- NPI 1053943928
Neurology With Special Qualifications in Child Neurology
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
-
- Family Nurse Practitioner
- East Lansing, MI
- NPI 1639253784
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1164738043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A109B",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-8122",
"fax_number": "517-432-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A217",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-8122",
"fax_number": "517-432-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "SUAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301096493",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MI",
"license": "4301096493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164738043",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.