Individual provider Active NPI

Suzan Ebrahimi, MD

  • Gastroenterology Physician
  • Greenbelt, MD
National Provider Identifier
1194083899
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0080759 Issued in MD
Practice address
7247 Hanover Pkwy
Greenbelt, MD 20770-3661
Phone
(301) 345-5513
Fax
(301) 345-5608
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0080759 MD Primary
Gastroenterology Physician 207RG0100X MD040822 DC

Addresses

Primary practice location

7247 Hanover Pkwy
Greenbelt, MD 20770-3661

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746

Other practice location 1

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (443) 569-3855

Other practice location 2

2003 Medical Pkwy Ste 100
Annapolis, MD 21401-3076
Phone (443) 569-3855

Other practice location 3

8116 Good Luck Rd Ste 210
Lanham, MD 20706-3508
Phone (443) 569-3855

Other practice location 4

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160301001301 DC Practitioner - Gastroenterology 2668777624 Reassigns benefits to 3 organizations
I20250227002160 MD Practitioner - Gastroenterology 2668777624 Reassigns benefits to 1 organization
I20251001002534 OH Practitioner - Gastroenterology 2668777624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

7247 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3661
Phone (301) 345-5877

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040822DCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Gi Care, PC CurrentSince May 16, 2019 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 20, 2024 Accepting new patients
Greenbelt Endoscopy Center, LLC CurrentSince Jul 15, 2019 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Aug 11, 2025 Accepting new patients
Greenbelt Endoscopy Center,LLC CurrentSince Jul 15, 2019 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 20, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Dec 20, 2024 Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2003 Medical Pkwy
Ste 100
Annapolis, MD 21401
Phone (410) 573-1110

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

7247 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (301) 345-5513

7247 Hanover Pkwy
Greenbelt, MD 20770
Phone (301) 345-5531

8116 Good Luck Rd
Ste 210
Lanham, MD 20706
Phone (240) 965-4405

9821 Greenbelt Rd
Ste 103
Lanham, MD 20706
Phone (301) 552-1801

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

Organizations & group practices 10

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 2

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1194083899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7247 HANOVER PKWY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703661",
            "telephone_number": "301-345-5513",
            "fax_number": "301-345-5608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8118 Good Luck Rd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063574",
            "country_code": "US",
            "telephone_number": "443-569-3855",
            "fax_number": "443-949-9159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Medical Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013076",
            "country_code": "US",
            "telephone_number": "443-569-3855",
            "fax_number": "443-949-9159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8116 Good Luck Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063508",
            "country_code": "US",
            "telephone_number": "443-569-3855",
            "fax_number": "443-949-9159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013773",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "fax_number": "443-949-9159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "SUZAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0080759",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DC",
            "license": "MD040822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.