Individual provider Active NPI

Daniel Suez, MD

  • Allergy & Immunology Physician
  • Irving, TX
National Provider Identifier
1255312773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
H1217 Issued in TX
Practice address
1115 Kinwest Parkway
Suite 100
Irving, TX 75063
Phone
(972) 401-0545
Fax
(214) 496-9130
NPI assigned
Nov 10, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X H1217 TX Primary

Addresses

Primary practice location

1115 Kinwest Parkway
Suite 100
Irving, TX 75063

Mailing address

1115 Kinwest Parkway
Suite 100
Irving, TX 75063
Phone (972) 401-0545

Other identifiers 1

IdentifierTypeStateIssuer
4500906958OtherCLEA #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101026000559 TX Practitioner - Allergy/Immunology 0345213864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1115 Kinwest Pkwy
Suite 100
Irving, TX 75063-3414
Phone (972) 401-0545

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Suez, M.D., Allergy, Asthma and Immunology Clinic, P.a. Allergy & Immunology CurrentSince Oct 1, 1995 Accepting new patients
Allergy & Immunology Medical Center LLC Allergy & Immunology Past Accepting new patients

Locations

1115 Kinwest Pkwy
Ste 100
Irving, TX 75063
Phone (972) 401-0545

440 W Lyndon B Johnson Fwy
Ste 475
Irving, TX 75063
Phone (512) 917-1946

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255312773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 KINWEST PARKWAY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-401-0545",
            "fax_number": "214-496-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 KINWEST PARKWAY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-401-0545",
            "fax_number": "214-496-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEZ",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H1217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEA #",
            "identifier": "4500906958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.