Organization Active NPI

Ali Suleiman MD Inc

  • Specialist
  • Beckley, WV
National Provider Identifier
1861693202
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16913 Issued in WV
Legal business name
ALI SULEIMAN MD INC
Practice address
242 George St
Beckley, WV 25801-2641
Phone
(304) 255-7878
Fax
(304) 256-0060
NPI assigned
May 31, 2007
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Ghada A Suleiman
Title
Office Manager
Phone
(304) 255-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 16913 WV Primary

Addresses

Primary practice location

242 George St
Beckley, WV 25801-2641

Mailing address

200 E Bunting LN
Beckley, WV 25801-3678
Phone (304) 255-7878

Other identifiers 1

IdentifierTypeStateIssuer
3810009767MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902001509 WV Part B Supplier - Clinic/Group Practice 2567438310 Receives reassigned benefits from 3 practitioners
Practice locations: Beckley, WV

National Provider Directory

National Provider Directory

Locations

242 George St
Beckley, WV 25801
Phone (304) 255-7878

300 Carriage Dr
Beckley, WV 25801
Phone (304) 255-7878

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1861693202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BUNTING LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013678",
            "telephone_number": "304-255-7878",
            "fax_number": "304-256-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012641",
            "telephone_number": "304-255-7878",
            "fax_number": "304-256-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI SULEIMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "SULEIMAN",
        "authorized_official_first_name": "GHADA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-255-7878"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "16913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009767",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.