Shaima Sulemankhil, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

48935 Issued in WI

Practice address

730 10TH Ave.
Baldwin, WI 54002

Phone

(715) 684-3311

Fax

(715) 684-4757

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssulemankhil222816@direct.emplifyhealth.org

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.

• Amery Regional Medical Center, Inc.

  • Critical Access Hospital
  • Amery, WI
  • NPI 1093763518
  NPD
• Amery Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • Luck, WI
  • NPI 1851345268
  NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1427092196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 10TH AVE.",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "54002",
            "telephone_number": "715-684-3311",
            "fax_number": "715-684-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 10TH AVE.",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "54002",
            "telephone_number": "715-684-3311",
            "fax_number": "715-684-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEMANKHIL",
        "first_name": "SHAIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "48935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34829400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Rae Stanton, M.D.
• Kaitlin Steavenson, PT
• Becky Kay Stephenson, COTA
• Joel S Stoeckeler, M.D.
• Jacob Stoffel, DC
• Alicia Sund
• Eyuel Terefe, MD
• Marie Agatha Thomalla, LPN
• Gina Ann Thompson, OTR
• Dana Lynn Timmers, RPH

• Family Medicine Physician in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.

Verify at the official NPI Registry.