NPIMap

Individual provider Active NPI

Hussein Qahtan Al Sudani, MD

  • Internal Medicine Physician
  • Plymouth Meeting, PA
National Provider Identifier
1285259606
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD481015 Issued in PA
Practice address
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone
(610) 272-8221
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT220153 PA
Internal Medicine Physician 207R00000X 14834 GA
Internal Medicine Physician 207R00000X MD481015 PA Primary

Addresses

Primary practice location

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Mailing address

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240125003769 PA Practitioner - Internal Medicine 4385004589 Reassigns benefits to 4 organizations
I20240129000834 GA Practitioner - Internal Medicine 4385004589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Geriatric'S, Inc.Group PAC ID 4486551371, 102 clinicians
Suburban Geriatrics II PCGroup PAC ID 9537552419, 107 clinicians

Practice addresses (Care Compare)

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

Hospital & facility affiliations

  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Residential Home Health of Carlisle LLC Home health agency, Havertown, PA, CCN 397645
  • Ascend Hospice Hospice, North Wales, PA, CCN 391643
  • Wellness Hospice and Palliative Care LLC Hospice, North Wales, PA, CCN 731509
  • Aurora Hospice, Inc. Hospice, Feasterville, PA, CCN 391738
  • Caring Hospice Services Hospice, Fort Washington, PA, CCN 391616
  • Gentiva I Hospice, Blue Bell, PA, CCN 391622
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Gwynedd Healthcare and Rehabilitation Center Nursing home, Lansdale, PA, CCN 395479
  • Onyx Wellness Center Nursing home, Norristown, PA, CCN 395346

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481015PAMDInternal Medicine Physician
MT220153PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Violet Valley Long Term Care PC CurrentSince Aug 18, 2025 Accepting new patients
Suburban Geriatrics, Inc. Internal Medicine CurrentSince Jan 5, 2024 Accepting new patients
Suburban Geriatrics II PC Internal Medicine CurrentSince Jan 5, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 23, 2023 Accepting new patients
The Rehabilitation Group of Pennsylvania, Inc, Past Accepting new patients
Gwynedd Healthcare LLC Past Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

773 Sumneytown Pike
Lansdale, PA 19446
Phone (215) 699-5000

25 W 5th St
Lansdale, PA 19446
Phone (215) 855-9765

2004 Old Arch Rd
Norristown, PA 19401
Phone (610) 277-0380

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

1600 Black Rock Rd
Royersford, PA 19468
Phone (610) 792-2224

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1285259606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "telephone_number": "610-272-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "telephone_number": "610-272-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL SUDANI",
        "first_name": "HUSSEIN",
        "middle_name": "QAHTAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT220153",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "14834",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD481015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.