Individual provider Active NPI

Paul William Suding, M.D

  • Surgery Physician
  • Lafayette, CO
National Provider Identifier
1215944129
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD61055807 Issued in WA
Practice address
300 Exempla Cir
Suite 360
Lafayette, CO 80026-3397
Phone
(303) 689-6560
Fax
(303) 689-6550
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17101 ND
Surgery Physician 208600000X A90424 CA
Surgery Physician 208600000X MD61055807 WA Primary
Surgery Physician 208600000X DR.0052704 CO

Addresses

Primary practice location

300 Exempla Cir
Suite 360
Lafayette, CO 80026-3397

Mailing address

300 Exempla Cir
Suite 360
Lafayette, CO 80026-3397
Phone (303) 689-6560

Other identifiers 1

IdentifierTypeStateIssuer
05909872MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ND, NE3 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
I20130823001149 CO Practitioner - General Surgery 2264531714 Reassigns benefits to 1 organization
I20210419002219 ND Practitioner - General Surgery 2264531714 Reassigns benefits to 1 organization
I20250416000574 NE Practitioner - General Surgery 2264531714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Colorado School of Medicine, Aurora, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

16909 Lakeside Hills CT
Omaha, NE 68130-4661

Hospital & facility affiliations

  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019
  • Banner North Co Medical Center - Loveland Campus Hospital, Loveland, CO, CCN 060030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90424CAMDSurgery Physician
DR.0052704COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System CurrentSince Aug 13, 2023 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 16, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2014 Accepting new patients
Altru Health System CurrentSince Aug 13, 2023 Accepting new patients
Altru Health System Surgery Current Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 6250
Broomfield, CO 80021
Phone (303) 272-0750

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

300 Exempla Cir
Ste 360
Lafayette, CO 80026
Phone (303) 403-3030

2771 Solution Ctr
Chicago, IL 60677

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

4440 S Washington St
Grand Forks, ND 58201
Phone (701) 732-7000

3219 Central Ave
Ste 200
Kearney, NE 68847
Phone (308) 865-2263

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

Interoperability endpoints

  • Direct secure messaging: psuding492576@direct.multicare.org

Organizations & group practices 8

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 3

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1215944129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR",
            "address_2": "SUITE 360",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263397",
            "telephone_number": "303-689-6560",
            "fax_number": "303-689-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EXEMPLA CIR",
            "address_2": "SUITE 360",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263397",
            "telephone_number": "303-689-6560",
            "fax_number": "303-689-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDING",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "17101",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A90424",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61055807",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0052704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05909872",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.