Individual provider Active NPI

Sulayman Zuod

  • Psychiatric/Mental Health Nurse Practitioner
  • Randolph, MA
National Provider Identifier
1588286983
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2275860 Issued in MA
Practice address
81 Memorial Pkwy Ofc a
Randolph, MA 02368-4505
Phone
(781) 926-3339
NPI assigned
May 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2275860 MA
Primary Care Nurse Practitioner 363LP2300X RN2275860 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2275860 MA Primary

Addresses

Primary practice location

81 Memorial Pkwy Ofc a
Randolph, MA 02368-4505

Mailing address

81 Memorial Pkwy Ofc a
Randolph, MA 02368-4505
Phone (781) 926-3339

Other practice location 1

81 Memorial Pkwy
Randolph, MA 02368-4505
Phone (781) 964-2654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022000147 MA Practitioner - Nurse Practitioner 8123448693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walk-in MD ClinicGroup PAC ID 5294105185, 13 clinicians
Bay Healthcare LLCGroup PAC ID 4880063726, 13 clinicians

Practice addresses (Care Compare)

81 Memorial Pkwy
Randolph, MA 02368-4505
Phone (781) 437-4448

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2275860MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yafa Health LLC Psychiatric/Mental Health CurrentSince Oct 20, 2023 Accepting new patients
Walk-in MD Clinic Primary Care CurrentSince Jun 1, 2022 Accepting new patients
Walk-in MD Clinic CurrentSince Sep 1, 2022 Accepting new patients
Bay Healthcare LLC Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Health Quality Inc. PastSince Sep 10, 2020 Accepting new patients

Locations

742 Washington St
Ofc B
Braintree, MA 02184

130 County Rd
Unit B
Ipswich, MA 01938
Phone (978) 668-4949

81 Memorial Pkwy
Randolph, MA 02368
Phone (781) 437-4448

81 Memorial Pkwy
Ofc A
Randolph, MA 02368
Phone (781) 926-3339

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.

Hospital & facility affiliations 2

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": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1588286983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEMORIAL PKWY OFC A",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684505",
            "telephone_number": "781-926-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEMORIAL PKWY OFC A",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684505",
            "telephone_number": "781-926-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Memorial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023684505",
            "country_code": "US",
            "telephone_number": "781-964-2654",
            "fax_number": "857-320-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUOD",
        "first_name": "SULAYMAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2275860",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2275860",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2275860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.