Individual provider Active NPI

Alejandro Lee Suarez, M.D.

  • Gastroenterology Physician
  • Charleston, SC
National Provider Identifier
1386936110
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD36765 Issued in SC
Practice address
2073 Charlie Hall Blvd
Charleston, SC 29414
Phone
(843) 571-0643
Fax
(843) 571-0311
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 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 TRN15884 FL
Gastroenterology Physician 207RG0100X 56417 CT
Gastroenterology Physician 207RG0100X MD36765 SC Primary

Addresses

Primary practice location

2073 Charlie Hall Blvd
Charleston, SC 29414

Mailing address

2073 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 571-0643

Other practice location 1

20 York St Fl 8
New Haven, CT 06510-3220
Phone (203) 200-5083

Other practice location 2

1250 Wire Grass Dr
MT Pleasant, SC 29466-9493
Phone (843) 571-0643

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pdd@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161227000104 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 7810121415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palmetto Digestive Disease PAGroup PAC ID 7719978444, 11 clinicians

Practice addresses (Care Compare)

2073 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 571-0643

Hospital & facility affiliations

  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089

Merit-based Incentive Payment System (MIPS)

Final score
93.66 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy301
Upper gastrointestinal (GI) endoscopy for acid reflux438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36765SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vibra Physicians LLC CurrentSince Oct 8, 2016 Accepting new patients
Palmetto Digestive Disease PA CurrentSince Jul 1, 2018 Accepting new patients
Palmetto Endoscopy Center - Mt Pleasant LLC Past Accepting new patients

Locations

2073 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 571-0643

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

1250 Wire Grass Dr
Mt Pleasant, SC 29466
Phone (843) 571-0643

Interoperability endpoints

  • Direct secure messaging: pdd@directaddress.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1386936110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-571-0643",
            "fax_number": "843-571-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29414",
            "telephone_number": "843-571-0643",
            "fax_number": "843-571-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St Fl 8",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-200-5083",
            "fax_number": "203-737-1755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Wire Grass Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294669493",
            "country_code": "US",
            "telephone_number": "843-571-0643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "ALEJANDRO",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN15884",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "56417",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "MD36765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdd@directaddress.net",
            "affiliation": "N",
            "address_1": "2073 Charlie Hall Blvd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.