Organization Active NPI

William M Suleiman MD PC

  • Physical Medicine & Rehabilitation Physician
  • Kearney, NE
National Provider Identifier
1639353634
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
18515 Issued in NE
Legal business name
WILLIAM M SULEIMAN MD PC
Practice address
10 E 31St St
3Rd Floor
Kearney, NE 68847
Phone
(308) 865-7474
Fax
(308) 865-2935
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. William Marco Suleiman, MDNPI 1396847802
Title
President
Phone
(308) 865-7474

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 18515 NE Primary

Addresses

Primary practice location

10 E 31St St
3Rd Floor
Kearney, NE 68847

Mailing address

PO Box 2258
Kearney, NE 68848-2258
Phone (308) 865-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000636 NE Part B Supplier - Clinic/Group Practice 0648358283 Receives reassigned benefits from 1 practitioner
Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

10 E 31st St
Fl 3
Kearney, NE 68847
Phone (308) 865-7474

Practitioners & affiliated clinicians

Practitioners 1

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1639353634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2258",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688482258",
            "telephone_number": "308-865-7474",
            "fax_number": "308-865-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 31ST ST",
            "address_2": "3RD FLOOR",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68847",
            "telephone_number": "308-865-7474",
            "fax_number": "308-865-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M SULEIMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "SULEIMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-865-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NE",
            "license": "18515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.