Active NPI
Suleiman Halaibeh, MBBS
- General Practice Physician
- Westerly, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18410
- Practice address
- 105 Franklin St Unit 7
Westerly, RI 02891-3149 - Phone
- (401) 315-0220
- NPI assigned
- Jun 25, 2009
- Last updated
- Jul 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 18410 | PR | Primary |
Addresses
Primary practice location
105 Franklin St Unit 7
Westerly, RI 02891-3149
Mailing address
Sa. Inc. Medical Services, Ave. Lauro Pinero 195 Ceib
Ceiba, PUERTO RICO 00735
UM
Phone (787) 885-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18410 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blueprint Healthcare LLC | Current | Accepting new patients |
Locations
451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434
100 Smithfield Rd
North Providence, RI 02904
Phone (401) 230-5601
544 Pleasant St
Pawtucket, RI 02860
Phone (401) 275-8888
180 Log Rd
Smithfield, RI 02917
Phone (401) 231-7016
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1366670598",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "SA. INC. MEDICAL SERVICES, AVE. LAURO PINERO 195 CEIB",
"city": "CEIBA",
"state": "PUERTO RICO",
"postal_code": "00735",
"telephone_number": "787-885-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FRANKLIN ST UNIT 7",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028913149",
"telephone_number": "401-315-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALAIBEH",
"first_name": "SULEIMAN",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-25",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.