Organization Active NPI

Sofia Suriel MD PA

  • Internal Medicine Physician
  • Nottingham, MD
National Provider Identifier
1255599890
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOFIA SURIEL MD PA
Practice address
8870 Belair Rd
Nottingham, MD 21236-2401
Phone
(410) 248-3124
Fax
(410) 248-3125
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sofia M Suriel, M. D.
Title
President
Phone
(410) 248-3124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X

Addresses

Primary practice location

8870 Belair Rd
Nottingham, MD 21236-2401

Mailing address

308 E Timonium Rd
Timonium, MD 21093-2836
Phone (410) 248-3124

Other identifiers 4

IdentifierTypeStateIssuer
185191800MedicaidMD
0J0MOtherMDBCBS
W488OtherMDBCBS
9010OtherMDCAREFIRST BLUECHOICE

National Provider Directory

National Provider Directory

Locations

8870 Belair Rd
Nottingham, MD 21236
Phone (410) 248-3124

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255599890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E TIMONIUM RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932836",
            "telephone_number": "410-248-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362401",
            "telephone_number": "410-248-3124",
            "fax_number": "410-248-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFIA SURIEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SURIEL",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-248-3124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185191800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0J0M",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W488",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "9010",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.