Individual provider Active NPI

Suhail I Haque, MD

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1821048513
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35219 Issued in KY
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

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200329370MedicaidIN
64037195MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20050711000174 KY Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 9234165416 Reassigns benefits to 4 organizations
I20221205001970 IN Practitioner - Pain Management 9234165416 Reassigns benefits to 1 organization

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
Anesthesiology Consultants Enterprises PLLCGroup PAC ID 9830268671, 124 clinicians
North Clark Medical Group LLCGroup PAC ID 3971879354, 21 clinicians

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

LicenseStateTypeSpecialty
01047434AINMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Clark Medical Group LLC CurrentSince Dec 1, 2022 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Anesthesiology CurrentSince Dec 1, 2024 Accepting new patients
Anesthesiology Consultants Enterprises, PLLC Anesthesiology CurrentSince Nov 1, 2025 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.

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

Verify at the official NPI Registry.