Active NPI
David H Sjulin, M.D.
- Otolaryngology Physician
- Boys Town, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 18587
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00853 | Other | NE | BCBS ENT |
| 1000388 | Medicaid | NE | |
| 1000385 | Medicaid | NE | |
| 3393 | Other | NE | MIDLANDS CHOICE |
| 1000386 | Medicaid | NE | |
| 1000470 | Medicaid | NE | |
| 3136978 | Medicaid | IA | |
| 1000410 | Medicaid | NE | |
| 1000460 | Medicaid | NE | |
| 00855 | Other | NE | BCBS BT |
| 1000387 | Medicaid | NE | |
| 1000411 | Medicaid | NE | |
| 4136978 | Medicaid | IA | |
| 5136978 | Medicaid | IA | |
| 1000413 | Medicaid | NE | |
| 6136978 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Pediatric Otolaryngology | Current | 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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
IA, Pediatric Otolaryngology
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1194822130
-
- Psychologist
- Boys Town, NE
- NPI 1265405419
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Omaha, NE
- NPI 1457458556
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ENT",
"identifier": "00853",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000388",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000385",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "3393",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000386",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000470",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3136978",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"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",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000411",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.