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SULAIMAN ALHUMAID MD
NPI 1235672585
Ophthalmology - Retina Specialist in North Miami Beach, FL

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
184 NE 168TH ST, NORTH MIAMI BEACH, FL 33162(305) 655-0411(305) 655-0499 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2021, Mar 19, 2021, Feb 22, 2021 and 2 more (5 updates tracked since 2016).

About Sulaiman Alhumaid Md NPPES

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

SULAIMAN ALHUMAID MD (NPI 1235672585) is an individual retina specialist in North Miami Beach, Florida, licensed in Florida (ME133059) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235672585
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameSULAIMAN ALHUMAIDCredential: MD
Location Address184 NE 168TH STNorth Miami Beach, FL 33162-3412
Mailing Address184 Ne 168th StNorth Miami Beach, FL 33162-3412 · (305) 655-0411 · Fax (305) 655-0499
Phone(305) 655-0411
Fax(305) 655-0499
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 18, 2016
Last NPPES UpdateMarch 30, 20215 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1235672585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in FL · ME133059
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License MFC1768 (FL)
184 NE 168TH ST, North Miami Beach, FL 33162
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sulaiman Alhumaid Md 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 ID4486936309
PECOS Enrollment IDI20170127002582
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.

Areas of Expertise CMS Part B claims 11

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
758 services265 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
508 services138 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
483 services84 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
319 services216 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
263 services53 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
222 services28 patients

Hospital Affiliations CMS Care Compare

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

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL
OwnershipProprietary
CMS Certification Number100181
Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33162 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.5
Promoting Interoperability81
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%973 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
99%258 patients
Documentation of Current Medications in the Medical Record
100%9,296 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
91%224 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 2,074 patients
Patients screened: 100% · 2,074 patients
86%84 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%108 patients
Provide Patients Electronic Access to Their Health Information
70%1,422 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,918 patients
Patients totalRate: 0% · 1,918 patients
0%1,918 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 3

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

J HARRIS LEVY MD PA
Ophthalmology
184 NE 168TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 655-0411
JAY HARRIS LEVY MD
Ophthalmology
184 NE 168TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 655-0411
RETINA MACULA SPECIALISTS OF MIAMI LLC
Ophthalmology
184 NE 168TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 655-0411

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 Sulaiman Alhumaid's NPI number?

The NPI number for Sulaiman Alhumaid is 1235672585. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Sulaiman Alhumaid located?

Sulaiman Alhumaid practices at 184 NE 168th St, North Miami Beach, FL 33162. The listed phone number is (305) 655-0411.

What is Sulaiman Alhumaid's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Sulaiman Alhumaid enrolled in Medicare?

Yes. Sulaiman Alhumaid 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.

What insurance does Sulaiman Alhumaid accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Sulaiman Alhumaid 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 Sulaiman Alhumaid affiliated with any hospitals?

According to CMS data, Sulaiman Alhumaid is affiliated with Larkin Community Hospital.

When was this NPI record last updated?

The NPPES record for Sulaiman Alhumaid was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.