Individual provider Active NPI

Anas Souqiyyeh, M.D.

  • Hospitalist Physician
  • Crown Point, IN
National Provider Identifier
1508286667
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01085450A Issued in IN
Practice address
12750 St Francis Dr
Crown Point, IN 46307-0264
Phone
(219) 757-6121
Fax
(219) 681-6897
NPI assigned
Apr 16, 2014
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301105984 MI
Family Medicine Physician 207Q00000X 01085450A IN
Geriatric Medicine (Family Medicine) Physician 207QG0300X 130589 OH
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 01085450A IN
Hospitalist Physician 208M00000X 01085450A IN Primary

Addresses

Primary practice location

12750 St Francis Dr
Crown Point, IN 46307-0264

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (440) 989-4874

Other practice location 2

7575 Grand River Rd Ste 209
Brighton, MI 48114-9379
Phone (810) 844-7950

Other practice location 3

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 738-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 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
I20161019000227 MI Practitioner - Family Practice 0345466694 Reassigns benefits to 1 organization
I20210712001354 IN Practitioner - HospitalistPractitioner - Family Practice 0345466694 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Ies HSP Indiana LLCGroup PAC ID 4486189040, 25 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3300

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 738-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130589OHMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
Ies HSP Indiana LLC Hospitalist CurrentSince Jan 6, 2025 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Franciscan Physician Network Family Medicine CurrentSince May 18, 2022 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Jan 5, 2023 Accepting new patients
Northwest Hospitalist Physicians LLP Hospitalist CurrentSince Jun 7, 2021 Accepting new patients
Reid Physician Associates, Inc CurrentSince Sep 16, 2024 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Jul 1, 2022 Accepting new patients
Iha Health Service Corporation CurrentSince Sep 1, 2016 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Iha Health Services Corporation CurrentSince Sep 1, 2016 Accepting new patients
Franciscan Physician Network CurrentSince May 18, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

7575 Grand River Rd
Ste 209
Brighton, MI 48114
Phone (810) 844-7774

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Interoperability endpoints

  • Direct secure messaging: asouqiyyeh484161@reidhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1508286667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 ST FRANCIS DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070264",
            "telephone_number": "219-757-6121",
            "fax_number": "219-681-6897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "440-989-4874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 Grand River Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149379",
            "country_code": "US",
            "telephone_number": "810-844-7950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078481",
            "country_code": "US",
            "telephone_number": "219-738-2100",
            "fax_number": "219-933-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUQIYYEH",
        "first_name": "ANAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301105984",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01085450A",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "130589",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "01085450A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01085450A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.