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DR. WILLIAM A SUAREZ M.D.
NPI 1063410496
Pediatrics - Pediatric Cardiology in Waterville, OH

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
1089 PRAY BLVD, WATERVILLE, OH 43566(567) 952-2100(567) 952-2101 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2026, Apr 9, 2025, Nov 3, 2023 and 4 more (7 updates tracked since 2017).

About Dr. William A Suarez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM A SUAREZ M.D. (NPI 1063410496) is an individual pediatric cardiology provider in Waterville, Ohio, licensed in Ohio (35066613) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1063410496
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. WILLIAM A SUAREZCredential: M.D.
Location Address1089 PRAY BLVDWaterville, OH 43566-8712
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595 · (419) 383-5322
Phone(567) 952-2100
Fax(567) 952-2101
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1991
Enumeration DateJuly 11, 2005
Last NPPES UpdateFebruary 3, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1063410496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in OH · 35066613
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 35066613 (OH)
1089 PRAY BLVD, Waterville, OH 43566
Open in Google Maps ↗

Secondary Practice Locations 9

Location 12142 N Cove BlvdToledo, OH 43606-3895 · Phone (419) 291-0157 · Fax (419) 479-2617
Location 22213 Cherry StToledo, OH 43608-2603 · Phone (567) 290-6543
Location 3730 W. High StreetLima, OH 45801 · Phone (419) 251-8035
Location 42222 Cherry St Ste 2800Toledo, OH 43608-2675 · Phone (419) 251-8035
Location 5500 W Market StTiffin, OH 44883-2610 · Phone (419) 251-8035
Location 63000 Arlington Ave Fl 1Toledo, OH 43614-2595 · Phone (419) 383-3963 · Fax (419) 383-6167
Location 7718 N Macomb StMonroe, MI 48162-7815 · Phone (734) 240-8400
Location 8715 S Taft AveFremont, OH 43420-3237 · Phone (419) 332-7321
Location 91400 E 2nd StDefiance, OH 43512-9905 · Phone (419) 251-8035

Other Identifiers 1

Medicaid2020459OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William A Suarez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810938149
PECOS Enrollment IDI20050517001048
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show William Suarez reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Toledo Hospital
5.4 mi
Emergency Medicine
1075 MEDICAL CENTER PARKWAY
Maumee, OH 43537
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1356015564 (567) 585-0800
University Of Toledo Physicians, LLC
10 mi
Sports Medicine
3000 ARLINGTON AVE
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 522 clinicians in this Medicare group
NPI 1215240676 (419) 383-3761
Mercy Health Physicians North Specialty Care LLC
14 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541
Mercy Health Physicians-North LLC
14 mi
Family Medicine
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 457 clinicians in this Medicare group
NPI 1609000769 (419) 871-6359
Promedica Children's Specialists
15 mi
Pediatrics
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 70 clinicians in this Medicare group
NPI 1245444959 (567) 585-1969
Northwest Pediatric Specialists, LLC
15 mi
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
29 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%43 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%49 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
31%150 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
18%33 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
13%82 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%150 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%150 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%150 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 20% · 71 patients
Patients physicalActivity: 20% · 71 patients
42%71 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$68.25 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMILA A WILHELM RN, APRN , FNP-C
Nurse Practitioner (Family)
1089 PRAY BLVD
WATERVILLE, OH 43566
Lucas County (419) 383-8500
ROSEMARY L. D'AGOSTINO M.D.
Pediatrics
1089 PRAY BLVD
WATERVILLE, OH 43566
Lucas County (567) 952-2100
YETUNDE AWWAH BADMUS
Pediatrics
1089 PRAY BLVD
WATERVILLE, OH 43566
Lucas County (419) 383-8500
DR. SOPHIA GRECOS MCCULLOUGH MD
Pediatrics
1089 PRAY BLVD
WATERVILLE, OH 43566
Lucas County (567) 952-2100
RAWAN MUSAITIF M.D.
Pediatrics
1089 PRAY BLVD
WATERVILLE, OH 43566
Lucas County (419) 383-8500
MEDICAL UNIVERSITY OF OHIO AT TOLEDO
General Acute Care Hospital
1089 PRAY BLVD
WATERVILLE, OH 43566
Lucas County (419) 383-8500
DR. VALARIE N STRICKLEN M.D.
Pediatrics
1089 PRAY BLVD
WATERVILLE, OH 43566
Lucas County (567) 952-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Suarez's NPI number?

The NPI number for William Suarez is 1063410496. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is William Suarez located?

William Suarez practices at 1089 Pray Blvd, Waterville, OH 43566. The listed phone number is (567) 952-2100.

What is William Suarez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is William Suarez enrolled in Medicare?

Yes. William Suarez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for William Suarez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Suarez reassigns Medicare benefits to 6 organizations: The Toledo Hospital (Maumee, OH), University Of Toledo Physicians, LLC (Toledo, OH), Mercy Health Physicians North Specialty Care LLC (Toledo, OH), Mercy Health Physicians-North LLC (Toledo, OH), Promedica Children's Specialists (Toledo, OH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Suarez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Suarez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list William Suarez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Suarez affiliated with any hospitals?

According to CMS data, William Suarez is affiliated with University Of Toledo Medical Center, Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for William Suarez was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.