Organization Active NPI

Mohammad Suleman, MD Apmc

  • Surgery Physician
  • Kenner, LA
National Provider Identifier
1750386363
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
05448R Issued in LA
Legal business name
MOHAMMAD SULEMAN, MD APMC
Practice address
200 W Esplanade Ave
Ste 312
Kenner, LA 70065-2474
Phone
(504) 712-8872
Fax
(504) 712-8879
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Mohmmmad S. Suleman, MD
Title
Owner/President
Phone
(504) 812-8872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 05448R LA Primary

Addresses

Primary practice location

200 W Esplanade Ave
Ste 312
Kenner, LA 70065-2474

Mailing address

PO Box 6617
Metairie, LA 70009-6617
Phone (504) 712-8872

Other identifiers 2

IdentifierTypeStateIssuer
1737709OtherECFMG
1315371MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000607 LA Part B Supplier - Clinic/Group Practice 4486749611 Receives reassigned benefits from 1 practitioner
Practice locations: Kenner, LA

National Provider Directory

National Provider Directory

Locations

200 W Esplanade Ave
Ste 312
Kenner, LA 70065
Phone (504) 376-4664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1750386363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6617",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700096617",
            "telephone_number": "504-712-8872",
            "fax_number": "504-712-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "STE 312",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652474",
            "telephone_number": "504-712-8872",
            "fax_number": "504-712-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD SULEMAN, MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "SULEMAN",
        "authorized_official_first_name": "MOHMMMAD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "504-812-8872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "05448R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "1737709",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1315371",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.