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SAOUSSAN ALFAHEL MD
NPI 1366697427
Pediatrics in Lake Station, IN

Active since November 17, 2008PECOS Enrolled
2490 CENTRAL AVE, LAKE STATION, IN 46405(219) 763-8112(219) 962-1808 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017, Jan 12, 2016 (3 updates tracked since 2016).

About Saoussan Alfahel Md NPPES

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

SAOUSSAN ALFAHEL MD (NPI 1366697427) is an individual pediatrics provider in Lake Station, Indiana, licensed in Indiana (01078593A) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366697427
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAOUSSAN ALFAHELCredential: MD
Location Address2490 CENTRAL AVELake Station, IN 46405-2122
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 962-1808
Phone(219) 763-8112
Fax(219) 962-1808
Sole ProprietorNo
Enumeration DateNovember 17, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1366697427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01078593A✔ Licensed in IL · 036.125340
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125.052662 (IL)
2490 CENTRAL AVE, Lake Station, IN 46405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saoussan Alfahel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46405 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

MR. DAKOTA LYNN TAYLOR MSW
Social Worker
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
FERNANDO H. RIVERA M.D.
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
REYNALDO MARTIN CALUAG MD
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
DR. AMY JANETTE MAXBERRY PHARM.D.
Pharmacist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 962-5909
MNYISEI ELAINE KAMVAZAANA NP
Nurse Practitioner (Obstetrics & Gynecology)
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
MR. KEITH MINTON RAMSEY M.D.
Obstetrics & Gynecology
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
NORTHSHORE HEALTH CENTERS
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 962-2760
DR. RONALD SAMUEL LEMON II O.D.
Optometrist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112

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 Saoussan Alfahel's NPI number?

The NPI number for Saoussan Alfahel is 1366697427. It was assigned to this individual provider in the NPPES registry on November 17, 2008.

Where is Saoussan Alfahel located?

Saoussan Alfahel practices at 2490 Central Ave, Lake Station, IN 46405. The listed phone number is (219) 763-8112.

What is Saoussan Alfahel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Saoussan Alfahel enrolled in Medicare?

Yes. Saoussan Alfahel is registered in the Medicare PECOS enrollment system.

What insurance does Saoussan Alfahel accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Saoussan Alfahel 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.

When was this NPI record last updated?

The NPPES record for Saoussan Alfahel was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.