Individual provider Active NPI

Suha Tawfik Ramadan, M.D.

  • Pediatrics Physician
  • Edmond, OK
National Provider Identifier
1255398269
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23369 Issued in OK
Practice address
2836 N Kelly Ave Apt 110
Edmond, OK 73003-3154
Phone
(312) 515-1356
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 23369 OK Primary

Addresses

Primary practice location

2836 N Kelly Ave Apt 110
Edmond, OK 73003-3154

Mailing address

2836 N Kelly Ave Apt 110
Edmond, OK 73003-3154
Phone (312) 515-1356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031201000141 IL Practitioner - Pediatric Medicine 4082519368 Reassigns benefits to 1 organization
I20190408000389 OK Practitioner - Pediatric Medicine 4082519368 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23369OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2020 Accepting new patients
Southern Oklahoma Pediatrics Inc CurrentSince Apr 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 26, 2014 Accepting new patients
Ramadan Medical Group, PLLC Pediatrics Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 26, 2014 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Midwest Neoped Associates LTD PastSince Jun 28, 2009 Accepting new patients
Lakeview Pediatrics, LLC Pediatrics Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

29373 Network Pl
Chicago, IL 60673

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1214 Arlington St
Ada, OK 74820
Phone (580) 436-2283

2836 N Kelly Ave
Ste 110
Edmond, OK 73003
Phone (312) 515-1356

2820 N Kelly Ave
Ste 100
Edmond, OK 73003
Phone (405) 359-5900

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 10

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1255398269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 N KELLY AVE APT 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033154",
            "telephone_number": "312-515-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 N KELLY AVE APT 110",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033154",
            "telephone_number": "312-515-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMADAN",
        "first_name": "SUHA",
        "middle_name": "TAWFIK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "23369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.