Suha Faisal Omar Abu Khalaf, MD
Individual provider Active NPI Infectious Disease Physician · Fargo, ND
NPI 1235623331 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1235623331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 19017 (ND)
- Practice address
- 3000 32ND Ave S
Fargo, ND 58103-6132 - Phone
- (701) 364-8900
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Infectious Disease
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Innovis Health LLC
Practice addresses (Care Compare)
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
Hospital & facility affiliations
- Essentia Health
- Essentia Health St Marys - Detroit Lakes
- St Josephs Area Health Services
- St Francis Medical Center
- Sanford Medical Center Fargo
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230707001785 | ND | Practitioner - Infectious Disease | 8527314434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health, LLC | Current | Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients |
Locations
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018016234 | MO | |
| Infectious Disease Physician | 207RI0200X | 2021017474 | MO | |
| Infectious Disease Physician | 207RI0200X | 19017 | ND | Yes |
Addresses
Primary practice location
3000 32ND Ave S
Fargo, ND 58103-6132
Mailing address
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8900
Other practice location 1
1 Hospital Dr
Columbia, MO 65212-1000
Phone (573) 882-0808
Other providers in Fargo, ND
- Above & Beyond Chiropractic
- Above All Counseling PLLC
- Nicole Y Abrahamson
- Angela Abrams
- Samer Abu Ammra
- Marwan M.B. Abu Minshar
- Abu Nafs PLLC
- Bremen Abuhl
- Ahmed Abuzaanona
- Ac Psychological Services LLC
All providers in Fargo, ND · Infectious Disease Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.