Active NPI
Shuaib Muhammad Suhail, MD
- Pediatrics Physician
- Pryor, OK
National Provider Identifier
1518969161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20455
- Practice address
- 562 South Elliott Street
Pryor, OK 74361-6411 - Phone
- (918) 824-8000
- Fax
- (918) 825-5505
- NPI assigned
- Aug 12, 2005
- Last updated
- May 6, 2014
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20455 | OK | Primary |
Addresses
Primary practice location
562 South Elliott Street
Pryor, OK 74361-6411
Mailing address
562 South Elliott Street
Pryor, OK 74361-6411
Phone (918) 824-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100014750A | Medicaid | OK |
Other names 1
- Muhammad S Suhail
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20455 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Pediatrics | Past | Accepting new patients |
| Ahs Pryor Hospital, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- ssuhail113005@ahs.direct-ci.com
Organizations & group practices 2
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.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Pediatrics
-
dba Hillcrest Hospital Pryor
- General Acute Care Hospital
- Pryor, OK
- NPI 1780125005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1518969161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 SOUTH ELLIOTT STREET",
"city": "PRYOR",
"state": "OK",
"postal_code": "743616411",
"telephone_number": "918-824-8000",
"fax_number": "918-825-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "562 SOUTH ELLIOTT STREET",
"city": "PRYOR",
"state": "OK",
"postal_code": "743616411",
"telephone_number": "918-824-8000",
"fax_number": "918-825-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUHAIL",
"first_name": "SHUAIB",
"middle_name": "MUHAMMAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "20455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100014750A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MUHAMMAD",
"last_name": "SUHAIL",
"middle_name": "S",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.