Active NPI
Ashraf A. Suliman, M.D
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1962852590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A187853
- Practice address
- 3490 Palm Ave
San Diego, CA 92154-1664 - Phone
- (619) 423-5616
- Fax
- (619) 423-5684
- NPI assigned
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301506172 | MI | |
| Internal Medicine Physician | 207R00000X | ME146086 | FL | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301110463 | MI | |
| Internal Medicine Physician | 207R00000X | A187853 | CA | Primary |
Addresses
Primary practice location
3490 Palm Ave
San Diego, CA 92154-1664
Mailing address
3490 Palm Ave
San Diego, CA 92154-1664
Phone (619) 423-5616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3490 Palm Ave
San Diego, CA 92154-1664
Phone (619) 423-5616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME146086 | FL | MD | Internal Medicine Physician |
| 4301110463 | MI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcos Borrero MD Inc | Internal Medicine | Current | Accepting new patients |
| Metcare of Florida, Inc | Internal Medicine | Past | Accepting new patients |
Locations
3490 Palm Ave
San Diego, CA 92154
Phone (619) 423-1351
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- asuliman355417@direct.hfhs.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1962852590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3490 PALM AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921541664",
"telephone_number": "619-423-5616",
"fax_number": "619-423-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 PALM AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921541664",
"telephone_number": "619-423-5616",
"fax_number": "619-423-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULIMAN",
"first_name": "ASHRAF",
"middle_name": "A.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301506172",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME146086",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301110463",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A187853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.