Active NPI
Suhail I Haque, MD
- Anesthesiology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35219
- Practice address
- 645 S Roy Wilkins Ave
Louisville, KY 40203-2072 - Phone
- (502) 561-0520
- Fax
- (502) 561-0521
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35219 | KY | |
| Pain Medicine Physician | 208VP0000X | 01047434A | IN | |
| Pain Medicine Physician | 208VP0000X | 35219 | KY | |
| Anesthesiology Physician | 207L00000X | 35219 | KY | Primary |
Addresses
Primary practice location
645 S Roy Wilkins Ave
Louisville, KY 40203-2072
Mailing address
720 W Broadway Ste 202
Louisville, KY 40202-3245
Phone (502) 561-0943
Other practice location 1
1802 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 288-2488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200329370 | Medicaid | IN | |
| 64037195 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (859) 268-1030
1802 E 10TH St
Jeffersonville, IN 47130-6016
Phone (502) 244-9859
645 S Roy Wilkins Ave
Suite 200
Louisville, KY 40203-2072
Phone (502) 244-9859
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01047434A | IN | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clark Medical Group LLC | Current | Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Consultants Enterprises, PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Services of Kentucky, PLLC | Anesthesiology | Past | Accepting new patients |
| Obstetric Anesthesia Consultants PSC | Anesthesiology | Past | Accepting new patients |
Locations
2100 Market St
Ste 101
Charlestown, IN 47111
Phone (812) 503-5100
1804 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 553-0810
1802 E 10th St
Jeffersonvlle, IN 47130
Phone (502) 893-7744
1211 W Broadway
Ste A
Louisville, KY 40203
Phone (502) 233-3290
680 S 4th St
Louisville, KY 40202
Phone (502) 596-6063
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
645 S Roy Wilkins Ave
Fl 2
Louisville, KY 40203
1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767
645 S Roy Wilkins Ave
Ste 100
Louisville, KY 40203
Phone (502) 583-4092
645 S Roy Wilkins Ave
#200
Louisville, KY 40203
Phone (502) 561-0520
645 S Roy Wilkins Ave
Louisville, KY 40203
Phone (502) 208-1036
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1821048513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W BROADWAY STE 202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023245",
"telephone_number": "502-561-0943",
"fax_number": "502-561-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 S ROY WILKINS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402032072",
"telephone_number": "502-561-0520",
"fax_number": "502-561-0521"
}
],
"practiceLocations": [
{
"address_1": "1802 E 10th St",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471306016",
"country_code": "US",
"telephone_number": "812-288-2488",
"fax_number": "812-288-6603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAQUE",
"first_name": "SUHAIL",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "KY",
"license": "35219",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "IN",
"license": "01047434A",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "KY",
"license": "35219",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "35219",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200329370",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64037195",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.