Individual provider Active NPI

Melissa Suh, M.D.

  • Pediatric Surgery Physician
  • Boys Town, NE
National Provider Identifier
1316201742
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
31778 Issued in NE
Practice address
14080 Hospital Road
Boys Town, NE 68010
Phone
(531) 355-7400
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6869 NE
Pediatric Surgery Physician 2086S0120X 31778 NE Primary

Addresses

Primary practice location

14080 Hospital Road
Boys Town, NE 68010

Mailing address

14080 Hospital Road
Boys Town, NE 68010
Phone (531) 355-7400

Other names 1

  • Melissa Ruhlman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20210816002988 NE Practitioner - General Surgery 3678796489 Reassigns benefits to 2 organizations
I20230118001078 IA Practitioner - General SurgeryPractitioner - Pediatric Medicine 3678796489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Saint Louis University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Father Flanagans Boys HomeGroup PAC ID 9638165400, 93 clinicians

Practice addresses (Care Compare)

14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (402) 778-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6869NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan's Boys' Home CurrentSince Jul 30, 2021 Accepting new patients
Unmc Physicians CurrentSince Jan 1, 2026 Accepting new patients
ENT Services PC Past Accepting new patients
Father Flanagan's Boys Home Past Accepting new patients
Nebraska Pediatric Practice, Inc Past Accepting new patients
Children's Hospital & Medical Center Past Accepting new patients

Locations

320 McKenzie Ave
Ste 202
Council Bluffs, IA 51503
Phone (712) 256-5272

14000 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6000

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

983280 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5510

111 N 84th St
Omaha, NE 68114
Phone (402) 955-6154

8200 Dodge St
Omaha, NE 68114
Phone (402) 955-4350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1316201742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14080 HOSPITAL ROAD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "68010",
            "telephone_number": "531-355-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14080 HOSPITAL ROAD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "68010",
            "telephone_number": "531-355-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "MELISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "6869",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NE",
            "license": "31778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RUHLMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boys Town, NE

Sources for this page

Verify at the official NPI Registry.