Active NPI
Carlos Alberto Suarez, MD
- Family Medicine Physician
- Rogers, AR
National Provider Identifier
1952488660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-7482
- Practice address
- 2012 S Promenade Blvd
Rogers, AR 72758 - Phone
- (479) 616-1485
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-7482 | AR | Primary |
Addresses
Primary practice location
2012 S Promenade Blvd
Rogers, AR 72758
Mailing address
3291 S Thompson St Ste D101
Springdale, AR 72764-7357
Phone (479) 419-9955
Other practice location 1
3291 S Thompson St
Suite D101
Springdale, AR 72764-7043
Phone (479) 419-9955
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278512 | Medicaid | OR | |
| CB3544 | Other | OR | RR MEDICARE GROUP NUMBER |
| P00389916 | Other | OR | RR MEDICARE NUMBER |
| E-7482 | Other | AR | ARKANSAS LICENSE |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- csuarezmd@shp-ar.direct.office.nextgen.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1952488660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 S THOMPSON ST STE D101",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727647357",
"telephone_number": "479-419-9955",
"fax_number": "888-960-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 S PROMENADE BLVD",
"city": "ROGERS",
"state": "AR",
"postal_code": "72758",
"telephone_number": "479-616-1485"
}
],
"practiceLocations": [
{
"address_1": "3291 S Thompson St",
"address_2": "Suite D101",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727647043",
"country_code": "US",
"telephone_number": "479-419-9955",
"fax_number": "479-419-9962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUAREZ",
"first_name": "CARLOS",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-7482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278512",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP NUMBER",
"identifier": "CB3544",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE NUMBER",
"identifier": "P00389916",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS LICENSE",
"identifier": "E-7482",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN NUMBER",
"identifier": "R0000WFBTV",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.