Suhail a.Masudi, M.D, PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME86182 Issued in FL

Legal business name

SUHAIL A.MASUDI, M.D, PA

Practice address

10111 W Forest Hill Blvd
Ste. # 268
Wellington, FL 33414-6108

Phone

(561) 586-0881

Fax

(561) 586-0166

NPI assigned

Nov 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Suhail Masudi, M.D.NPI 1649206525

Title

Owner

Phone

(561) 586-0881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIHDBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suhail A Masudi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wellington, FL
  • NPI 1649206525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1226793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226793600000",
    "number": "1508010695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 W FOREST HILL BLVD",
            "address_2": "STE. # 268",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-586-0881",
            "fax_number": "561-586-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 W FOREST HILL BLVD",
            "address_2": "STE. # 268",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-586-0881",
            "fax_number": "561-586-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUHAIL A.MASUDI, M.D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-16",
        "last_updated": "2008-11-16",
        "status": "A",
        "authorized_official_last_name": "MASUDI",
        "authorized_official_first_name": "SUHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-586-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME86182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.