NPIMap

Individual provider Active NPI

Suraya Khaled Nahlawi, DO

  • Diagnostic Radiology Physician
  • Ann Arbor, MI
National Provider Identifier
1659938785
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101027784 Issued in MI
Practice address
1500 E Medical Center Dr # B1D502
Ann Arbor, MI 48109-5000
Phone
(734) 615-9016
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5151013758 MI
Diagnostic Radiology Physician 2085R0202X 5101027784 MI Primary
Diagnostic Radiology Physician 2085R0202X DO4176 ME
Diagnostic Radiology Physician 2085R0202X 38585 NH

Addresses

Primary practice location

1500 E Medical Center Dr # B1D502
Ann Arbor, MI 48109-5000

Mailing address

16001 W 9 Mile Rd Ste 416
Southfield, MI 48075-4818
Phone (248) 849-8441

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4735

Other practice location 2

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3000

Other practice location 3

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Other identifiers 2

IdentifierTypeStateIssuer
NONEMedicaidMI
1659938785MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251029001896 MI Practitioner - Diagnostic Radiology 4385970805 Reassigns benefits to 5 organizations
I20260403001353 IN Practitioner - Diagnostic Radiology 4385970805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians

Practice addresses (Care Compare)

Farmington Hills, MI 48335
Phone (260) 432-1568

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

21098 Prestwick
Farmington Hills, MI 48335-4805
Phone (812) 847-5212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO4176MEMDDiagnostic Radiology Physician
5101027784MIMDDiagnostic Radiology Physician
38585NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle CurrentSince Sep 14, 2025 Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Sep 17, 2025 Accepting new patients
Ella E M Brown Charitable Circle Current Accepting new patients
Spectrum Healthcare Partners, P.a. CurrentSince Feb 1, 2026 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Sep 14, 2025 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Sep 9, 2025 Accepting new patients

Locations

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

489 State St
Bangor, ME 04401
Phone (207) 973-8837

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

Organizations & group practices 10

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 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1659938785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD STE 416",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR # B1D502",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-615-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4735",
            "fax_number": "207-662-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-973-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAHLAWI",
        "first_name": "SURAYA",
        "middle_name": "KHALED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5151013758",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101027784",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "DO4176",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "38585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659938785",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.