Active NPI
Mukhamed Sulaimanov, MD
- Hospitalist Physician
- Fort Dodge, IA
National Provider Identifier
1972289684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD-56691
- Practice address
- 802 Kenyon Rd
Fort Dodge, IA 50501-5740 - Phone
- (515) 573-3101
- NPI assigned
- Jun 26, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-56691 | IA | |
| Hospitalist Physician | 208M00000X | MD-56691 | IA | Primary |
Addresses
Primary practice location
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Mailing address
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 573-3101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240729000745 | TN | Order and Referring Only - Family Practice | 5496117129 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1972289684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 KENYON RD",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015740",
"telephone_number": "515-573-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 KENYON RD",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505015740",
"telephone_number": "515-573-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULAIMANOV",
"first_name": "MUKHAMED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "MD-56691",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IA",
"license": "MD-56691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Dodge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.