Husam Haidar Sukerek, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13676R Issued in LA

Practice address

210 Highland Dr
Many, LA 71449-3718

Phone

(318) 256-5722

Fax

(318) 256-5774

NPI assigned

May 24, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Pediatric MedicineAlso: Gastroenterology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asmhsukere@yourcarecommunity.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sabine Medical Associates, Inc

  dba Husam Sukerek, MD

  • Rural Health Clinic/Center
  • Many, LA
  • NPI 1790967826

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sabine Medical Associates, Inc

  dba Husam Sukerek, MD

  • Rural Health Clinic/Center
  • Many, LA
  • NPI 1790967826
  Medicare reassignment NPD Authorized official
• Alexandria Pediatric Gastro, Inc

  • Pediatric Gastroenterology Physician
  • Alexandria, LA
  • NPI 1073386520
  NPD (past) Authorized official
• Sabine Medical Associates, Inc

  dba Husam Sukerek MD

  • Pediatric Gastroenterology Physician
  • Many, LA
  • NPI 1184169773
  Authorized official Same address or phone
• Sabine Medical Associates, Inc.

  dba Husam Sukerek, M.D.

  • Pediatrics Physician
  • Many, LA
  • NPI 1710177167
  Authorized official Same address or phone

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699778597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5722",
            "fax_number": "318-256-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5722",
            "fax_number": "318-256-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKEREK",
        "first_name": "HUSAM",
        "middle_name": "HAIDAR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "13676R",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "LA",
            "license": "13676R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1436542",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENSE",
            "identifier": "13676R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricki Sepulvado
• Nicholas Slaydon
• Precious Lashae Smith
• George Dwain Spillman Jr.
• Frances Rose Strickland, RN
• T&G Transit LLC
• Taima Care, LLC
• Dametra Danielle Taylor, FNP
• Dorianna Telsee
• The Arc of Sabie

• Pediatrics Physician in Many, LA
• Providers in Many, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.