Individual provider Active NPI

Suhaib Kamal Elobaid, M.D

  • Internal Medicine Physician
  • Greenfield, WI
National Provider Identifier
1730455189
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61968 Issued in WI
Practice address
4945 S Heritage Dr
W202
Greenfield, WI 53220-5399
Phone
(919) 949-2654
NPI assigned
Mar 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 61968 WI Primary

Addresses

Primary practice location

4945 S Heritage Dr
W202
Greenfield, WI 53220-5399

Mailing address

4945 S Heritage Dr
W202
Greenfield, WI 53220-5399
Phone (919) 949-2654

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
I20230928001232 MI Practitioner - Internal Medicine 1850607086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61968WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Ironwood Hospital & Clinics, Inc. Internal Medicine Current Accepting new patients
McLaren Flint CurrentSince Jan 8, 2024 Accepting new patients
McLaren Flint Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
McLaren Hospital Group CurrentSince Dec 1, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Sep 27, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

Organizations & group practices 6

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 1

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1730455189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 S HERITAGE DR",
            "address_2": "W202",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532205399",
            "telephone_number": "919-949-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 S HERITAGE DR",
            "address_2": "W202",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532205399",
            "telephone_number": "919-949-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOBAID",
        "first_name": "SUHAIB",
        "middle_name": "KAMAL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "61968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.