Individual provider Active NPI

Suleiman Kojan, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Royal Oak, MI
National Provider Identifier
1629503024
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
4301111456 Issued in MI
Practice address
3555 W 13 Mile Rd Ste N120
Beaumont Hospital Royal Oak
Royal Oak, MI 48073-6710
Phone
(855) 863-8761
Fax
(248) 551-8190
NPI assigned
Apr 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 4301111456 MI Primary

Addresses

Primary practice location

3555 W 13 Mile Rd Ste N120
Beaumont Hospital Royal Oak
Royal Oak, MI 48073-6710

Mailing address

130 Town Center Dr
Suite 203
Troy, MI 48084-1744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skojan488798@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170724001063 MI Practitioner - Neurology 3779575600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flint Neurological Centre PCGroup PAC ID 1759308620, 5 clinicians

Practice addresses (Care Compare)

5082 Villa Linde Pkwy
Flint, MI 48532-3411
Phone (810) 720-1335

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Neurological Centre PC CurrentSince Jan 27, 2023 Accepting new patients

Locations

5082 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 720-1335

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 3

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1629503024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR",
            "address_2": "SUITE 203",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W 13 MILE RD STE N120",
            "address_2": "BEAUMONT HOSPITAL ROYAL OAK",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "855-863-8761",
            "fax_number": "248-551-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOJAN",
        "first_name": "SULEIMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MI",
            "license": "4301111456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skojan488798@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3555 W 13 Mile Rd Ste N120",
            "address_2": "Beaumont Hospital Royal Oak",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.