Individual provider Active NPI

Abdullah Sultan Al Jabri, MD, FRCSC

  • Student in an Organized Health Care Education/Training Program
  • Cleveland, OH
National Provider Identifier
1063143402
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
57.252363 Issued in NU
Practice address
9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001
Phone
(216) 444-6704
NPI assigned
Jun 17, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57.252363 NU Primary
Surgery Physician 208600000X 57.252363 OH

Addresses

Primary practice location

9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001

Mailing address

26900 George Zeiger Dr Apt 511
Beachwood, OH 44122-7614
Phone (216) 340-4700

Other practice location 1

Fairview Hospital
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1063143402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 GEORGE ZEIGER DR APT 511",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227614",
            "telephone_number": "216-340-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # NA-23",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Fairview Hospital",
            "address_2": "18101 Lorain Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44111",
            "country_code": "US",
            "telephone_number": "216-476-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL JABRI",
        "first_name": "ABDULLAH",
        "middle_name": "SULTAN",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": "57.252363",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57.252363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.