Individual provider Active NPI

Suhail Hameed, M.D.

  • Rheumatology Physician
  • Glendale, WI
National Provider Identifier
1881602647
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
44516 Issued in WI
Practice address
7080 N Port Washington Rd
Glendale, WI 53217-3879
Phone
(414) 351-4009
NPI assigned
Aug 4, 2006
Last updated
Jan 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44516 WI
Internal Medicine Physician 207R00000X 244591 NY
Rheumatology Physician 207RR0500X 44516 WI Primary
Rheumatology Physician 207RR0500X 244591 NY

Addresses

Primary practice location

7080 N Port Washington Rd
Glendale, WI 53217-3879

Mailing address

7080 N Port Washington Rd
Glendale, WI 53217-3879
Phone (414) 351-4009

Other identifiers 1

IdentifierTypeStateIssuer
1881602647MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050624000640 WI Practitioner - RheumatologyPractitioner - Internal Medicine 1355386848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatic Disease CenterGroup PAC ID 0840210852, 8 clinicians

Practice addresses (Care Compare)

7080 N Port Washington Rd
Glendale, WI 53217-3879
Phone (414) 351-4009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244591NYMDInternal Medicine Physician
44516WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatic Disease Center Rheumatology CurrentSince Jul 6, 2010 Accepting new patients
Muslim Community and Health Center of Wisconsin Inc Current Accepting new patients

Locations

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

2500 W Layton Ave
Ste 250
Milwaukee, WI 53221
Phone (414) 269-9373

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GADIAA
  • Direct secure messaging: suhail.hameed@rdc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Muslim Community and Health Center of Wisconsin Inc.Milwaukee, WI, CCN 521000 Federally qualified health center Corporate Director Jan 1, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 3

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1881602647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173879",
            "telephone_number": "414-351-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173879",
            "telephone_number": "414-351-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEED",
        "first_name": "SUHAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "44516",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "244591",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "44516",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "244591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881602647",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.