Suela Kaba, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D70277 Issued in MD

Practice address

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593

Phone

(443) 949-0814

Fax

(443) 949-0825

NPI assigned

Jun 14, 2007

Last updated

Feb 24, 2013By the provider in NPPES

Sex

Female

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 7

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

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

Owned or controlled facilities with NPI records 3

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

• Bel Pre Leasing Co., LLC

  dba Silver Spring Healthcare Center

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1063699288

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Kensington Nursing, LLC

  dba Kensington Healthcare Center

  • Skilled Nursing Facility
  • Kensington, MD
  • NPI 1134293137

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Oakview Operator, LLC

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1043870256

  Adp of the SNF, Operational/Managerial Control

  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.

• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Salisbury, MD
  • NPI 1881635183
  Medicare reassignment NPD
• Mdics Rehabilitative Services - Ltcaco LLC

  • Internal Medicine Physician
  • La Plata, MD
  • NPI 1033005475

  DC

  Medicare reassignment NPD
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC, Family Medicine

  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  MD

  Medicare reassignment
• Mdics at Civista LLC

  • Hospitalist Physician
  • La Plata, MD
  • NPI 1225323496
  NPD
• Bel Pre Leasing Co., LLC

  dba Silver Spring Healthcare Center

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1063699288
  NPD (past)
• Kensington Nursing, LLC

  dba Kensington Healthcare Center

  • Skilled Nursing Facility
  • Kensington, MD
  • NPI 1134293137
  NPD (past)
• Oakview Operator, LLC

  • Skilled Nursing Facility
  • Silver Spring, MD
  • NPI 1043870256
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361664000000",
    "number": "1730383571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABA",
        "first_name": "SUELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D70277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "6436421",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC PRIORITY PARTNERS",
            "identifier": "239897",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "9273557",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MARYLAND",
            "identifier": "968920-01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420211200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE",
            "identifier": "0113",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS POS",
            "identifier": "P19415",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Monique Joynes
• JP Lymphacare LLC
• Just Ducky Behavioral Health
• Cynthia Laurie Justiniano-Cook
• Justliz L.L.C
• Kendra Paige Kachel
• Sarah Grace Kachur, PHARMD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (North Arundel Medical Center Pharmacy)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (North Arundel Medical Center)
• Kaitlyn's Counseling Corner

• Family Medicine Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.