Organization Active NPI

Jamil S Sulieman MD Inc

  • Pulmonary Disease Physician
  • Kaneohe, HI
National Provider Identifier
1619075660
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
7571 Issued in HI
Legal business name
JAMIL S SULIEMAN MD INC
Practice address
46-001 Kamehameha Hwy
Suite 314
Kaneohe, HI 96744-3711
Phone
(808) 234-0033
Fax
(808) 234-0055
NPI assigned
Sep 20, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Dr. Jamil S Sulieman, MDNPI 1063427441
Title
President
Phone
(808) 234-0033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 7571 HI Primary

Addresses

Primary practice location

46-001 Kamehameha Hwy
Suite 314
Kaneohe, HI 96744-3711

Mailing address

46-001 Kamehameha Hwy
Suite 314
Kaneohe, HI 96744-3711
Phone (808) 234-0033

Other identifiers 3

IdentifierTypeStateIssuer
07037703MedicaidHI
07037705MedicaidHI
3196466OtherHIUHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061011000063 HI Part B Supplier - Clinic/Group Practice 8224034475 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI; Kailua, HI; Kaneohe, HI

National Provider Directory

National Provider Directory

Locations

1029 Kapahulu Ave
Ste 300
Honolulu, HI 96816
Phone (808) 234-0033

1441 Kapiolani Blvd
Ste 1111
Honolulu, HI 96814
Phone (808) 536-2333

642 Ulukahiki St
Ste 303
Kailua, HI 96734
Phone (808) 234-0033

46-001 Kamehameha Hwy
Ste 314
Kaneohe, HI 96744
Phone (808) 234-0033

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1619075660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY",
            "address_2": "SUITE 314",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443711",
            "telephone_number": "808-234-0033",
            "fax_number": "808-234-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY",
            "address_2": "SUITE 314",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443711",
            "telephone_number": "808-234-0033",
            "fax_number": "808-234-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIL S SULIEMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "SULIEMAN",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-234-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "7571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07037703",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07037705",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "3196466",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.