Abdullattief Abdulaziz Sulieman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

51008-020 Issued in WI

Practice address

1672 S 9TH St
Milwaukee, WI 53204-3426

Phone

(414) 645-9711

Fax

(414) 645-9211

NPI assigned

Mar 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Family Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Compassionate Doctors Inc

  • General Practice Physician
  • Wauwatosa, WI
  • NPI 1427380450
  Medicare reassignment NPD Authorized official
• Independent Physicians of Wisconsin, LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1871975920
  NPD (past)
• Midwest Urgent Medical Services LLC

  • Urgent Care Clinic/Center
  • Oak Creek, WI
  • NPI 1215982491
  NPD (past)
• Zezenya Health Care S.C.

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
  • NPI 1427430602
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1881864197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "414-645-9711",
            "fax_number": "414-645-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 S 9TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043426",
            "telephone_number": "414-645-9711",
            "fax_number": "414-645-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIEMAN",
        "first_name": "ABDULLATTIEF",
        "middle_name": "ABDULAZIZ",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "51008-020",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "51008-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN  AGELESS",
            "identifier": "K100110473",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI1640",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI1640001 IND",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN  AGELESS",
            "identifier": "K400111699",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881864197",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suhas K Shelgikar MD SC
• Kumar Sujeet, MD
• Laura C. Sukowaty, MD
• Sarah Sukus, RBT
• Nasir Z Sulemanjee, MBBS
• Sullivan Medical Clinic, LLC
• Lisa A Sullivan Vedder, MD
• Catherine Sullivan-Konyn, MSW, APSW
• Martina M Sullivan-Konyn, RN
• Amanda Renee Sullivan, AGACNP

• General Practice Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.

Verify at the official NPI Registry.