Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Suela Omeri, PA-C

Individual provider Physician Assistant · NPI 1073213088

Suela Omeri, PA-C is a Physician Assistant in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2024, 2 years ago. Practices with Form Health Associates MA, PC, a 39-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
2
Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2023
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

109 State St Ste 5
Boston, MA 02109-2906
Phone: (617) 505-1520
Fax: (617) 928-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA100477 (MA)

Record details

NPI number1073213088
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Form Health Associates Ma, P.C. — 39 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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