Individual provider Active NPI

Adenike Rasheedat Sulaiman, MBBS

  • Student in an Organized Health Care Education/Training Program
  • Omaha, NE
National Provider Identifier
1063127256
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
9960 Issued in NE
Practice address
1319 Leavenworth St
Omaha, NE 68102-3215
Phone
(402) 552-2050
Fax
(402) 552-2172
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 9960 NE Primary

Addresses

Primary practice location

1319 Leavenworth St
Omaha, NE 68102-3215

Mailing address

1319 Leavenworth St
Omaha, NE 68102-3215
Phone (402) 552-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918001632 NE Order and Referring Only - Family PracticePractitioner - Family Practice 2567834286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9960NEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians PastSince Jun 1, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1063127256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023215",
            "telephone_number": "402-552-2050",
            "fax_number": "402-552-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 LEAVENWORTH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681023215",
            "telephone_number": "402-552-2050",
            "fax_number": "402-552-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULAIMAN",
        "first_name": "ADENIKE",
        "middle_name": "RASHEEDAT",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": "9960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.