Individual provider Active NPI

Saba Suleman, MPH

  • Dermatology Physician
  • McAllen, TX
National Provider Identifier
1790429330
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1790429330 Issued in TX
Practice address
1313 E Daffodil Unit B
McAllen, TX 78501-2240
Phone
(195) 646-5653
NPI assigned
Apr 20, 2022
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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
Dermatology Physician 207N00000X 1790429330 TX Primary

Addresses

Primary practice location

1313 E Daffodil Unit B
McAllen, TX 78501-2240

Mailing address

3100 Buddy Owens Ave
McAllen, TX 78504-6464
Phone (959) 971-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241205000568 TX Practitioner - Dermatology 6800252842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Univeristy of Texas Rio Grande Valley Med School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Dermatology Group, PLLCGroup PAC ID 5890703508, 15 clinicians

Practice addresses (Care Compare)

3100 Buddy Owens Ave
Suite 101
McAllen, TX 78504-6464
Phone (956) 971-0404

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions35
Skin biopsy38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1790429330TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Dermatology Group, PLLC Dermatology CurrentSince Oct 24, 2024 Accepting new patients
Oasis Dermatology Starr County PLLC Dermatology PastSince Feb 9, 2025 Accepting new patients

Locations

3100 Buddy Owens Ave
McAllen, TX 78504

3100 Buddy Owens Ave
Ste 101
McAllen, TX 78504

3100 Buddy Owens Ave
Ste 102
McAllen, TX 78504

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1790429330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BUDDY OWENS AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046464",
            "telephone_number": "959-971-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E DAFFODIL UNIT B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012240",
            "telephone_number": "195-646-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEMAN",
        "first_name": "SABA",
        "credential": "MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "1790429330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.