MOHAMMAD SUHAIL MD
NPI 1255694451
Internal Medicine in Lincoln, RI

Q: What is Mohammad Suhail's NPI number?

The NPI number for Mohammad Suhail is 1255694451. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Q: What is Mohammad Suhail's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mohammad Suhail was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment

132 OLD RIVER RD., SUITE 108, LINCOLN, RI 02865(401) 723-9250(401) 334-1054 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2026, Feb 22, 2016 (2 updates tracked since 2016).

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About Mohammad Suhail Md NPPES

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

MOHAMMAD SUHAIL MD (NPI 1255694451) is an individual internal medicine provider in Lincoln, Rhode Island, licensed in Rhode Island (MD15056) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255694451

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMOHAMMAD SUHAILCredential: MD

Location Address132 OLD RIVER RD., SUITE 108Lincoln, RI 02865-1397

Mailing Address132 Old River Rd., Suite 108Lincoln, RI 02865-1397 · (401) 723-9250

Phone(401) 723-9250

Fax(401) 334-1054

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 21, 2012

Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1255694451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · MD15056

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

132 OLD RIVER RD., Lincoln, RI 02865

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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

Mohammad Suhail 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 ID6507173036

PECOS Enrollment IDI20150916001937

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

Medicare enrollment records show Mohammad Suhail reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Core Clinicals LLC

0.4 mi

Internal Medicine

6 BLACKSTONE VALLEY PLACE, BLDG 3, SUITE 306B
Lincoln, RI 02865

Reassigned Medicare billing, Rhode Island enrollment
36 clinicians in this Medicare group

NPI 1235704917 (401) 334-1044

Core Health Care LLC

0.4 mi

Internal Medicine

6 BLACKSTONE VALLEY PLACE, BLDG 3, SUITE 306B
Lincoln, RI 02865

Reassigned Medicare billing, Rhode Island enrollment
7 clinicians in this Medicare group

NPI 1801428131 (401) 334-1044

New England Premier Healthcare Ltd

4.5 mi

Internal Medicine

116 EDDIE DOWLING HWY
North Smithfield, RI 02896

Reassigned Medicare billing, Rhode Island enrollment
18 clinicians in this Medicare group

NPI 1447799036 (401) 996-5267

Prime Healthcare Services Landmark LLC

5.3 mi

Hematology & Oncology

219 CASS AVE
Woonsocket, RI 02895

Reassigned Medicare billing, Rhode Island enrollment
119 clinicians in this Medicare group

NPI 1518388651 (401) 769-4100

Hni Medical Services

1,674 mi

Hospitalist

7500 RIALTO BLVD STE 1-140
Austin, TX 78735

Reassigned Medicare billing, Rhode Island enrollment
16 clinicians in this Medicare group

NPI 1366735169 (512) 730-3060

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 14

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

341 services282 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

327 services147 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

138 services129 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

87 services78 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

73 services48 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

71 services67 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services50 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

58 services45 patients

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.

29 services24 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

29 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

28 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services21 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

19 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Landmark Medical Center

Acute Care Hospitals · Woonsocket, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410011

Location115 Cass AvenueWoonsocket, RI 02895 · Providence County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02865 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers27 claims40 services$5.31 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier14 claims14 services$20.67 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$4.74 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier14 claims17 services$7.47 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$15.20 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 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 8

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

ERIN HOUGH AGNP-BC

Nurse Practitioner (Adult Health)

132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865

Providence County (401) 723-9250

CAITLYN ANN BRAGA FNP-C

Nurse Practitioner

132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865

Providence County (401) 723-9250

ASHLEY DUGGAN FNP-C

Nurse Practitioner (Family)

132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865

Providence County (401) 723-9250

JILLIAN LEE BIELLO PA-C

Physician Assistant

132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865

Providence County (401) 723-9250

FATIMA HSISSOU FNP-C

Nurse Practitioner (Family)

132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865

Providence County (401) 723-9250

KATHLEEN L. KNOWLTON GNP-BS

Nurse Practitioner (Primary Care)

132 OLD RIVER RD., STE 108
LINCOLN, RI 02865

Providence County (401) 723-9250

AUDREY CMK TIN PA-C

Physician Assistant

132 OLD RIVER RD., SUITE 108
LINCOLN, RI 02865

Providence County (401) 723-9250

HALEE JOYCE PELOSO PA-C

Physician Assistant

132 OLD RIVER RD., STE 108
LINCOLN, RI 02865

Providence County (401) 723-9250

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 Mohammad Suhail's NPI number?

The NPI number for Mohammad Suhail is 1255694451. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Mohammad Suhail located?

Mohammad Suhail practices at 132 Old River Rd. Suite 108, Lincoln, RI 02865. The listed phone number is (401) 723-9250.

What is Mohammad Suhail's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mohammad Suhail enrolled in Medicare?

Yes. Mohammad Suhail 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 Mohammad Suhail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Suhail reassigns Medicare benefits to 5 organizations: Core Clinicals LLC (Lincoln, RI), Core Health Care LLC (Lincoln, RI), New England Premier Healthcare Ltd (North Smithfield, RI), Prime Healthcare Services Landmark LLC (Woonsocket, RI) and Hni Medical Services (Austin, TX). 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 Mohammad Suhail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mohammad Suhail affiliated with any hospitals?

According to CMS data, Mohammad Suhail is affiliated with Rhode Island Hospital, Landmark Medical Center and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Mohammad Suhail was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.