Active NPI
Sofia M Suriel, MD
- Internal Medicine Physician
- Nottingham, MD
National Provider Identifier
1962451179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DOO20567
- Practice address
- 8870 Belair Rd
Nottingham, MD 21236-2401 - Phone
- (410) 248-3124
- Fax
- (410) 248-3125
- NPI assigned
- May 8, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DOO20567 | MD | Primary |
Addresses
Primary practice location
8870 Belair Rd
Nottingham, MD 21236-2401
Mailing address
308 E Timonium Rd
Timonium, MD 21093-2836
Phone (410) 248-3124
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0J0MSM | Other | MD | BCBS |
| 185191800 | Medicaid | MD | |
| 9010-0001 | Other | MD | CAREFIRST BLUECHOICE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOO20567 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tansinda Medical Associates PA | Internal Medicine | Past | Accepting new patients |
| Agaton H. Escalante, MD, LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Nottingham, MD
- NPI 1255599890
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- Internal Medicine Physician
- Nottingham, MD
- NPI 1447965157
-
- Internal Medicine Physician
- Catonsville, MD
- NPI 1609065226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962451179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 E TIMONIUM RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932836",
"telephone_number": "410-248-3124",
"fax_number": "410-246-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8870 BELAIR RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212362401",
"telephone_number": "410-248-3124",
"fax_number": "410-248-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURIEL",
"first_name": "SOFIA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "DOO20567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0J0MSM",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185191800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "9010-0001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.