Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174564090 Individual Practitioner Male Practitioner

Souheil Al-Jadda

Surgery • Defiance, OH

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Souheil Al-Jadda is a registered healthcare professional specializing in Surgery in Defiance, OH. Official NPI practice address is registered at 1400 E 2ND ST.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 E 2nd St

Defiance, OH 435122440

Telephone 4197841414
Associated Practice Facility / Clinic
🏢 Fauster Cameron Inc. Facility NPI 1649253964

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Defiance, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.3 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Defiance, OH (1313 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
42 40 $109.00 $70.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 36 $159.00 $103.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
36 36 $246.00 $159.21
45380 Biopsy of large bowel using an endoscope
30 30 $659.33 $165.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
17 14 $213.00 $140.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $161.00 $104.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
12 12 $239.00 $108.82

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35038389

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0389182 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Douglas Lee , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013990217

Certified Registered Nurse Anesthetist

NPI 1033191911

Doctor of Medicine (M.D.)

NPI 1053302471

Doctor of Medicine (M.D.)

NPI 1073595328

Doctor of Podiatric Medicine

Molly Knepley , OT

Occupational Therapist

NPI 1104296896

Occupational Therapist

NPI 1104858745

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2014

Registered at 1400 E 2ND ST, DEFIANCE, OH 435122440 (Tel: 4197841414)

📍
Updated Business Mailing Address June 25, 2014

Registered at 1400 E 2ND ST, DEFIANCE, OH 435122440 (Tel: 4197841414)

👤
Provider Name / Credentials Updated June 25, 2014

Recorded as SOUHEIL AL-JADDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2014

Surgery (License #35038389 in OH)

🟢
Initial NPI Registration & Enumeration June 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174564090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2006
Last Update: June 25, 2014
Sole Proprietor: No

Mailing Address

1400 E 2nd St

Defiance, OH 435122440

Phone: 4197841414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.