Individual provider Active NPI

David H Sjulin, M.D.

  • Otolaryngology Physician
  • Boys Town, NE
National Provider Identifier
1629134929
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
18587 Issued in NE
Practice address
14040 Hospital Rd
Boys Town, NE 68010-7521
Phone
(402) 778-6800
Fax
(402) 778-6874
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 18587 NE Primary
Pediatric Otolaryngology Physician 207YP0228X 18587 NE

Addresses

Primary practice location

14040 Hospital Rd
Boys Town, NE 68010-7521

Mailing address

555 N 30TH St
Omaha, NE 68131-2136
Phone (402) 280-8100

Other identifiers 16

IdentifierTypeStateIssuer
00853OtherNEBCBS ENT
1000388MedicaidNE
1000385MedicaidNE
3393OtherNEMIDLANDS CHOICE
1000386MedicaidNE
1000470MedicaidNE
3136978MedicaidIA
1000410MedicaidNE
1000460MedicaidNE
00855OtherNEBCBS BT
1000387MedicaidNE
1000411MedicaidNE
4136978MedicaidIA
5136978MedicaidIA
1000413MedicaidNE
6136978MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090331000627 IA Practitioner - Otolaryngology 1850458100 Reassigns benefits to 1 organization
I20090401000058 NE Practitioner - Otolaryngology 1850458100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Father Flanagans Boys HomeGroup PAC ID 9638165400, 93 clinicians

Practice addresses (Care Compare)

14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-6000

14040 Boys Town Hospital Rd
Boys Town, NE 68010-7521
Phone (531) 355-6800

14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (402) 778-6900

14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-1449

Hospital & facility affiliations

  • Boys Town National Research Hospital Hospital, Boys Town, NE, CCN 283300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan'S Boys' Home Pediatric Otolaryngology CurrentSince Mar 25, 2009 Accepting new patients
Father Flanagan'S Boys Home Past Accepting new patients
ENT Services PC Otolaryngology Past Accepting new patients

Locations

320 McKenzie Ave
Ste 202
Council Bluffs, IA 51503
Phone (712) 256-5272

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

7205 W Center Rd
Ste 103
Omaha, NE 68124
Phone (402) 392-7600

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1629134929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312136",
            "telephone_number": "402-280-8100",
            "fax_number": "402-280-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107521",
            "telephone_number": "402-778-6800",
            "fax_number": "402-778-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJULIN",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "18587",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NE",
            "license": "18587",
            "primary": false
        }
    ],
    "identifiers": [
        {
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        },
        {
            "code": "05",
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        },
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        },
        {
            "code": "01",
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            "issuer": "MIDLANDS CHOICE",
            "identifier": "3393",
            "state": "NE"
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        {
            "code": "05",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "1000470",
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        {
            "code": "05",
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            "issuer": null,
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "1000410",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000460",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BT",
            "identifier": "00855",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000387",
            "state": "NE"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1000411",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "4136978",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5136978",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000413",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6136978",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boys Town, NE

Sources for this page

Verify at the official NPI Registry.