Individual provider Active NPI

Mohammad S. Suleman, M.D.

  • Surgery Physician
  • Kenner, LA
National Provider Identifier
1619972536
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
05448R Issued in LA
Practice address
200 W Esplanade Ave
Ste 312
Kenner, LA 70065-2474
Phone
(504) 712-8872
Fax
(504) 712-8879
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 05448R LA Primary

Addresses

Primary practice location

200 W Esplanade Ave
Ste 312
Kenner, LA 70065-2474

Mailing address

PO Box 6617
Metairie, LA 70009-6617
Phone (504) 712-8872

Other identifiers 2

IdentifierTypeStateIssuer
1737709OtherECFMG
1315371MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000595 LA Practitioner - Vascular Surgery 0042305278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W Esplanade Ave
Suite 312
Kenner, LA 70065-2474
Phone (504) 712-8872

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of skin lesions88
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05448RLAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad Suleman, MD Apmc Surgery CurrentSince Aug 1, 2007 Accepting new patients

Locations

200 W Esplanade Ave
Ste 312
Kenner, LA 70065
Phone (504) 376-4664

Organizations & group practices 1

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 4

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1619972536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6617",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700096617",
            "telephone_number": "504-712-8872",
            "fax_number": "504-712-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "STE 312",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652474",
            "telephone_number": "504-712-8872",
            "fax_number": "504-712-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEMAN",
        "first_name": "MOHAMMAD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "05448R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "1737709",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1315371",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.