Individual provider Active NPI

Karim Yanery Suazo-Flores, M.D.

  • Pediatrics Physician
  • Denham Springs, LA
National Provider Identifier
1235309055
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.204161 Issued in LA
Practice address
311 Veterans Blvd
Suite B
Denham Springs, LA 70726-4726
Phone
(225) 665-4554
Fax
(225) 665-6995
NPI assigned
Mar 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.204161 LA Primary

Addresses

Primary practice location

311 Veterans Blvd
Suite B
Denham Springs, LA 70726-4726

Mailing address

311 Veterans Blvd
Suite B
Denham Springs, LA 70726-4726
Phone (225) 665-4554

Other identifiers 1

IdentifierTypeStateIssuer
1007323MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ksuazoflores2642@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101110001178 LA Practitioner - Pediatric Medicine 1759576101 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Pediatrics CurrentSince Jul 2, 2012 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 2, 2012 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Our Lady of the Lake Hospital Inc Pediatrics Past Accepting new patients
Woman's Hospital Foundation Past Accepting new patients

Locations

8415 Goodwood Blvd
Ste 105
Baton Rouge, LA 70806
Phone (225) 765-4226

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

311 Veterans Blvd
Ste B
Denham Springs, LA 70726
Phone (225) 665-4554

5000 Odonavan Blvd
Ste 507
Walker, LA 70785
Phone (225) 214-3199

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

18989 Old Scenic Hwy
Zachary, LA 70791
Phone (225) 654-6140

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1235309055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 VETERANS BLVD",
            "address_2": "SUITE B",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264726",
            "telephone_number": "225-665-4554",
            "fax_number": "225-665-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 VETERANS BLVD",
            "address_2": "SUITE B",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264726",
            "telephone_number": "225-665-4554",
            "fax_number": "225-665-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAZO-FLORES",
        "first_name": "KARIM",
        "middle_name": "YANERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.204161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007323",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksuazoflores2642@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ksuazoflores2642@direct.casso.us.com",
            "address_1": "311 Veterans Blvd",
            "address_2": "Suite B",
            "city": "Denham Springs",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707264726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "311 Veterans Blvd",
            "address_2": "Suite B",
            "city": "Denham Springs",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707264726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.