Active NPI
Yisa Tunde Sulaiman Jr. Jr., FNP-C
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1047264
- Practice address
- 15212 Montfort Rd Ste 309
Dallas, TX 75248-6456 - Phone
- (972) 637-8663
- NPI assigned
- Jul 19, 2021
- Last updated
- Jul 19, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1047264 | TX | Primary |
Addresses
Primary practice location
15212 Montfort Rd Ste 309
Dallas, TX 75248-6456
Mailing address
15212 Montfort Rd Ste 309
Dallas, TX 75248-6456
Phone (972) 637-8663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2419 W Southlake Blvd
100 Direct Orthopedic Care
Southlake, TX 76092-1505
Phone (469) 535-6842
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047264 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citra Physician Services PLLC | Current | Accepting new patients | |
| Citra Physician Services PLLC | Current | Accepting new patients | |
| Summit Emergency Medicine, PLLC | Current | Accepting new patients | |
| Swiftcare Urgent Care, PLLC | Current | Accepting new patients | |
| Citra Physician Services PLLC | Current | Accepting new patients | |
| Total MD Physicians Group, PLLC | Current | Accepting new patients |
Locations
8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555
18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556
3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822
6176 Retail Rd
Ste 400
Dallas, TX 75231
Phone (214) 977-6798
7515 Greenville Ave
Ste 900
Dallas, TX 75231
Phone (214) 206-1447
1201 N Main St
Ste 600
Euless, TX 76039
Phone (682) 738-3460
2501 W 7th St
Ste 101
Ft Worth, TX 76107
Phone (817) 268-9690
606 Grapevine Hwy
Ste B
Hurst, TX 76054
Phone (682) 477-3087
234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221
2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Irving, TX
- NPI 1467808618
-
dba Citra Urgent Care
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1750016333
-
dba SwiftCare Urgent Care
- Urgent Care Clinic/Center
- Euless, TX
- NPI 1578917340
-
dba Total Behavioral Health
- Family Medicine Physician
- Austin, TX
- NPI 1982031852
-
dba Citra Urgent Care
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1013643279
-
dba Citra Urgent Care
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1124736442
-
dba Citra Urgent Care
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447776943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1932772043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15212 MONTFORT RD STE 309",
"city": "DALLAS",
"state": "TX",
"postal_code": "752486456",
"telephone_number": "972-637-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15212 MONTFORT RD STE 309",
"city": "DALLAS",
"state": "TX",
"postal_code": "752486456",
"telephone_number": "972-637-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULAIMAN JR.",
"first_name": "YISA",
"middle_name": "TUNDE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1047264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.