Active NPI
Suhaib Ased, D.O
- Emergency Medicine Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2020012894
- Practice address
- 3110 Maccorkle Ave SE
Camc Gme Office
Charleston, WV 25304-1210 - Phone
- (304) 388-7170
- Fax
- (304) 388-6597
- NPI assigned
- Apr 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3443 | WV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 2020012894 | MO | Primary |
Addresses
Primary practice location
3110 Maccorkle Ave SE
Camc Gme Office
Charleston, WV 25304-1210
Mailing address
3110 Maccorkle Ave SE
Camc Gme Office
Charleston, WV 25304-1210
Phone (304) 388-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200720000212 | MO | Practitioner - Emergency Medicine | 4880946920 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
Hospital & facility affiliations
- SSM St Joseph Hospital West
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 65.2
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Sikeston Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Sikeston, MO
- NPI 1427575299
Emergency Medicine, MO
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
Emergency Medicine, MO
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": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1831544089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 MACCORKLE AVE SE",
"address_2": "CAMC GME OFFICE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041210",
"telephone_number": "304-388-7170",
"fax_number": "304-488-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 MACCORKLE AVE SE",
"address_2": "CAMC GME OFFICE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041210",
"telephone_number": "304-388-7170",
"fax_number": "304-388-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASED",
"first_name": "SUHAIB",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-25",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "3443",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2020012894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.