Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ameed Talal Nsouli, PA-C

Individual provider Surgical Physician Assistant · NPI 1396635090

Mr. Ameed Talal Nsouli, PA-C is a Physician Assistant in Vail, Colorado. Qualified in 2025, 1 year ago. Practices with Steadman Clinic Professional LLC, a 78-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Phone: (301) 660-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1396635090
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2025
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Steadman Clinic Professional Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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