Active NPI
Nawaz Suddle, M.D.
- Internal Medicine Physician
- Kane, PA
National Provider Identifier
1366478927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD069060L
- Practice address
- 4372 Route 6
Kane, PA 16735-3060 - Phone
- (814) 837-4560
- Fax
- (814) 837-7905
- NPI assigned
- Jun 24, 2006
- Last updated
- May 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD069060L | PA | Primary |
Addresses
Primary practice location
4372 Route 6
Kane, PA 16735-3060
Mailing address
4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-4560
Other names 1
- Dr. Mohammed N Suddle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Upmc Kane | Current | Accepting new patients | |
| Upmc Kane | Internal Medicine | Current | Accepting new patients |
Locations
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
2 Thompson Park
Kane, PA 16735
Phone (814) 837-4770
4372 Route 6
Kane, PA 16735
Phone (814) 837-4741
Organizations & group practices 3
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Kane, PA
- NPI 1467635375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1366478927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4372 ROUTE 6",
"city": "KANE",
"state": "PA",
"postal_code": "167353060",
"telephone_number": "814-837-4560",
"fax_number": "814-837-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4372 ROUTE 6",
"city": "KANE",
"state": "PA",
"postal_code": "167353060",
"telephone_number": "814-837-4560",
"fax_number": "814-837-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDLE",
"first_name": "NAWAZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD069060L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOHAMMED",
"last_name": "SUDDLE",
"middle_name": "N",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kane, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.