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SUHAIR AFANA NAJDAWI MD
NPI 1316985534
Family Medicine in South Sioux City, NE

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
501 1ST AVE, SOUTH SIOUX CITY, NE 68776(402) 494-3064(712) 294-7299 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Dec 28, 2015 (2 updates tracked since 2015).

About Suhair Afana Najdawi Md NPPES

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

SUHAIR AFANA NAJDAWI MD (NPI 1316985534) is an individual family medicine provider in South Sioux City, Nebraska, licensed in Nebraska (23045) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1316985534
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUHAIR AFANA NAJDAWICredential: MD
Location Address501 1ST AVESouth Sioux City, NE 68776-1703
Mailing Address501 1st AveSouth Sioux City, NE 68776-1703 · (402) 494-3064 · Fax (712) 294-7299
Phone(402) 494-3064
Fax(712) 294-7299
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1316985534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NE · 23045✔ Licensed in IA · 32916
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 1ST AVE, South Sioux City, NE 68776
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Other Names 1

Professional Name (2)Suhair M Afana Md

Other Identifiers 7

Other04935IA · Wellmark Bcbs - Midtown
Medicaid42128384914NE
Medicaid7701322SD
Medicaid7701320SD
Medicaid1199935IA
Other06682NE · Bcbs Ne - South Sioux
Medicaid421283849-12NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Suhair Afana Najdawi 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 ID7113984428
PECOS Enrollment IDI20041217000274
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 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 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.
42 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services19 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68776 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Other Providers at the Same Location NPPES 6

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

MERCY MEDICAL SERVICES
Family Medicine
501 1ST AVE
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 494-3064
DAVID J ENSZ M.D.
Family Medicine
501 1ST AVE
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 494-3064
TAMERA R BINDER PA-C
Physician Assistant
501 1ST AVE
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 494-3064
IFAN CHEN ARNP
Family Medicine
501 1ST AVE
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 494-3064
DR. MATTHEW RANDAL HUMPAL M.D.
Family Medicine
501 1ST AVE
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 494-3064
DR. MAHA ELGAWLY MD
Family Medicine
501 1ST AVE
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 494-3064

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 Suhair Najdawi's NPI number?

The NPI number for Suhair Najdawi is 1316985534. It was assigned to this individual provider in the NPPES registry on June 2, 2006. The provider is also known as Suhair M Afana MD.

Where is Suhair Najdawi located?

Suhair Najdawi practices at 501 1st Ave, South Sioux City, NE 68776. The listed phone number is (402) 494-3064.

What is Suhair Najdawi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suhair Najdawi enrolled in Medicare?

Yes. Suhair Najdawi 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 Suhair Najdawi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Suhair Najdawi 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 Suhair Najdawi affiliated with any hospitals?

According to CMS data, Suhair Najdawi is affiliated with St Lukes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Suhair Najdawi was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.