Active NPI
Suliman El-Amin, M.D.
- Psychiatry Physician
- Marlborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 290689
- Practice address
- 157 Union St
Marlborough, MA 01752-1228 - Phone
- (508) 486-5587
- NPI assigned
- Jun 1, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 61280 | MN | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 290689 | MA | |
| Psychiatry Physician | 2084P0800X | 290689 | MA | Primary |
Addresses
Primary practice location
157 Union St
Marlborough, MA 01752-1228
Mailing address
PO Box 415348
Boston, MA 02241-5348
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | selamin180201@phsdirect.pinnaclehealth.org | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Georgetown University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4001 John St
Evansville, IN 47714-0216
Phone (812) 473-3144
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.15 of 100
- Quality
- 18.01
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11911 | AL | MD | Pediatrics Physician |
| 290689 | MA | MD | Psychiatry Physician |
| 61280 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Southwestern Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| Southwestern Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients |
Locations
415 Mulberry St
Evansville, IN 47713
Phone (812) 436-4232
4001 John St
Evansville, IN 47714
Phone (812) 473-3144
711 Green Rd
Madison, IN 47250
Phone (812) 265-2611
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evansville, IN
- NPI 1033108766
-
- Psychiatric Hospital
- Madison, IN
- NPI 1700876224
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evansville, IN
- NPI 1255168126
-
- Public Health or Welfare Agency
- Indianapolis, IN
- NPI 1023613403
-
- Psychiatric Hospital
- Madison, IN
- NPI 1659497477
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1508246026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 UNION ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521228",
"telephone_number": "508-486-5587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-AMIN",
"first_name": "SULIMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-01",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "61280",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MA",
"license": "290689",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "290689",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "selamin180201@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "1000 Bent Creek Blvd Ste 10",
"city": "Mechanicsburg",
"state": "PA",
"country_code": "US",
"postal_code": "170501869",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "157 Union St",
"city": "Marlborough",
"state": "MA",
"country_code": "US",
"postal_code": "017521228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.