Organization Active NPI

Jiries Suleiman Dahu MD PA

  • Nephrology Physician
  • Crosby, TX
National Provider Identifier
1407212822
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
JIRIES SULEIMAN DAHU MD PA
Practice address
14700 FM 2100 Rd
Suite #2
Crosby, TX 77532-9161
Phone
(281) 942-8001
Fax
(281) 724-1919
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Jiries Suleiman Dahu, MD
Title
Owner
Phone
(281) 942-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

14700 FM 2100 Rd
Suite #2
Crosby, TX 77532-9161

Mailing address

PO Box 96665
Houston, TX 77213-6665
Phone (281) 942-8001

Other identifiers 2

IdentifierTypeStateIssuer
00A1Z6OtherTXBCBS
356691101MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1407212822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96665",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772136665",
            "telephone_number": "281-942-8001",
            "fax_number": "281-724-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 FM 2100 RD",
            "address_2": "SUITE #2",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775329161",
            "telephone_number": "281-942-8001",
            "fax_number": "281-724-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIRIES SULEIMAN DAHU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "DAHU",
        "authorized_official_first_name": "JIRIES",
        "authorized_official_middle_name": "SULEIMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-942-8001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00A1Z6",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356691101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.