Alhassan Sameh Suboh, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

31717 Issued in TN

Practice address

6027 Walnut Grove Rd Ste 307
Memphis, TN 38120-2128

Phone

(901) 425-3200

Fax

(901) 682-7737

NPI assigned

May 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

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.

• Consolidated Medical Practices of Memphis,PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1508027491
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1205575180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD STE 307",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202128",
            "telephone_number": "901-425-3200",
            "fax_number": "901-682-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD STE 307",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202128",
            "telephone_number": "901-425-3200",
            "fax_number": "901-682-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBOH",
        "first_name": "ALHASSAN",
        "middle_name": "SAMEH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "31717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "suboh.hassan@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Personal Email",
            "address_1": "6027 Walnut Grove Rd Ste 307",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381202128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melody Su
• Elizabeth Ambros Suarez, PA-C
• Hannah Suber, PHARMD
• Rashemia Latricia Suber, FNP-C
• Nina Katherine Sublette, PHD, FNP
• Poorna Subramaniam
• Katie Joy Suda, PHARMD, M.S.
• Joseph Michael Sudderth
• Prabha Sudheendran, MD
• Sudie S Cushman

• Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.

Verify at the official NPI Registry.