Suha Emil Abuaita, MD
Individual provider Active NPI Family Medicine Physician · Midland, MI
NPI 1619722014 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1619722014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4351052851 (MI)
- Practice address
- 4611 Campus Ridge Dr
Midland, MI 48640-9533 - Phone
- (989) 839-3500
- NPI assigned
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240606003747 | MI | Order and Referring Only - Family Practice |
3971045881 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Midland | Past |
Accepting new patients | |
| Mymichigan Medical Center Midland | Family Medicine | Past |
Accepting new patients |
Interoperability endpoints
- sabuaita153689@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4351052851 | MI | Yes |
Addresses
Primary practice location
4611 Campus Ridge Dr
Midland, MI 48640-9533
Mailing address
4000 Wellness Drive
Midland Mall
Midland, MI 48670
Phone (844) 832-1956
Other providers in Midland, MI
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- Asma Abdulrazzak
- Above & Beyond Quality for Wellness LLC
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- Zenita Ace
- Cameron Christine Acha
- Candy Adair
- Craig Adams
All providers in Midland, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.