Ilkhom Suleymanov

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

Practice address

1 Shircliff Way
Jacksonville, FL 32204-4748

Phone

(904) 308-7300

NPI assigned

May 26, 2019

Last updated

May 26, 2019By the provider in NPPES

Sex

Male

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

Enrolled in FL

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Orlando Anesthesia Consultants PAGroup PAC ID 6204729056, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orlando Anesthesia Consultants PA

  • Anesthesiology Physician
  • Ocoee, FL
  • NPI 1184661696
  Medicare reassignment Care Compare group NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711
  Medicare reassignment Care Compare group NPD
• Orthomed Staffing LLC

  • Anesthesiology Physician
  • Addison, TX
  • NPI 1225514276

  FL

  Medicare reassignment Care Compare group NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1275973778
  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD
• Mohawk Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Minneola, FL
  • NPI 1689133290
  NPD (past)

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1811554710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 LAURELWOOD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIRCLIFF WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044748",
            "telephone_number": "904-308-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEYMANOV",
        "first_name": "ILKHOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W251704381",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Suh, MD
• Suhas Joshi, MD PA
• Iram Suhel
• Julian Stephen Suhrer, MD
• Marianny Nazareth Sulbaran Nava, MD, PH.D.
• Stephanie Sulkala
• Ann Nicole Sullivan, PA-C
• Annamarie Sullivan, O.D.
• David Kevin Sullivan, D.M.D.
• Deyja Sullivan

• Anesthesiologist Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Anesthesiologist Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.