Active NPI
Ibnouf Ibnouf Sulieman Sulieman, MD
- Transplant Surgery Physician
- Philadelphia, PA
National Provider Identifier
1184344152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- LT000943
- Practice address
- 1101 Ludlow St Apt 1410
Philadelphia, PA 19107-4271 - Phone
- (267) 584-6682
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | LT000943 | PA | Primary |
Addresses
Primary practice location
1101 Ludlow St Apt 1410
Philadelphia, PA 19107-4271
Mailing address
1025 Walnut Street
College Building Suite 605
Philadelphia, PA 19107
Phone (215) 955-5909
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT000943 | PA | MD | Transplant Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1184344152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 WALNUT STREET",
"address_2": "COLLEGE BUILDING SUITE 605",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-955-5909",
"fax_number": "215-923-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 LUDLOW ST APT 1410",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074271",
"telephone_number": "267-584-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULIEMAN",
"first_name": "IBNOUF",
"middle_name": "IBNOUF SULIEMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "PA",
"license": "LT000943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.