Sururat A. Coulibaly, PA-C
Medical Physician Assistant · Las Vegas, NV
Sururat A. Coulibaly, PA-C is a medical physician assistant with a practice address in Las Vegas, Nevada, and NPI 1235427816, issued on Jul 15, 2011. Check the license (Nevada PA1271, as entered in NPPES) with the Nevada board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Sururat A. Coulibaly
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License numbers
- PA1271 NV
PA21484 CA
Self-reported in NPPES; status is on the state search - Practice location
- 630 S Rancho Dr Ste E, Las Vegas, NV 89106
- Phone
- (702) 258-1001
- Enumerated
- Jul 15, 2011
- Record last updated
- Nov 2, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (702) 258-3455
- Medicaid ID
- 1235427816 NV
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 330 in Nevada → Look up another NPI →
Also registered at 630 S Rancho Dr Ste E
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jason StevensDermatology Physician1568921468
- Erika Voong, PA-CPhysician Assistant1679233431
Verify Sururat A. Coulibaly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Nevada board licenses this profession
Search for license PA1271Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
94% fewer Medicare Part D claims than the average medical physician assistant in 2024
64 Medicare Part D claims for 21 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 56% of claims.
Most prescribed
- Otezla16 claims
- Clobetasol Propionate15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 77.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,425.95
114 payments; by number, the most common kind was food and beverage; the largest payer was E.R. Squibb & Sons, L.L.C. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Sururat A. Coulibaly among 330 medical physician assistant records in Nevada
Sururat A. Coulibaly, PA-C is one of 330 medical physician assistant records with a practice address in Nevada. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 48% of them.
- NPI issued2011 · 48% of these records are older, 48% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 59% of these records are
- Record last updated2021 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Nevada practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in Nevada
There are 330 medical physician assistant records in Nevada.
All 330 in Nevada → Every provider in Las Vegas → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Brian Callier, PA-CLas Vegas, NV 891061033189170
- Jess Cresencia, PA-CLas Vegas, NV 891061063512911
- Melchor Gochioco, PA-CLas Vegas, NV 891061386654788
- Shana Holman, PA-CLas Vegas, NV 891061881745081
- John Kvist, PA-CLas Vegas, NV 891061871699447
- Rachel Lunini, PA-CLas Vegas, NV 891061497091870
- Cindy Miller, PA-CLas Vegas, NV 891061104067479
- Jerry Nesbit, PALas Vegas, NV 891061366419707
Common questions
What is Sururat A. Coulibaly, PA-C's NPI number?
Sururat A. Coulibaly, PA-C's National Provider Identifier (NPI) is 1235427816, issued on Jul 15, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Sururat A. Coulibaly, PA-C located?
The NPPES record lists a practice address at 630 S Rancho Dr Ste E, Las Vegas, NV, 89106. Phone: (702) 258-1001. Providers update this record themselves, so call before visiting.
How can I verify Sururat A. Coulibaly, PA-C's license?
NPPES lists Nevada license number PA1271, as entered by the provider. Search the Nevada board that licenses this profession; the NPPES record confirms identity only.
How much does Sururat A. Coulibaly, PA-C prescribe under Medicare Part D?
In 2024, Sururat A. Coulibaly, PA-C had 64 Medicare Part D claims for 21 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
What is Sururat A. Coulibaly, PA-C's MIPS final score?
The 2023 MIPS final score is 77.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.