DR. SUHAILA OBAIDALLA MD
NPI 1164360467
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Q: What is Suhaila Obaidalla's NPI number?

The NPI number for Suhaila Obaidalla is 1164360467. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Q: What is Suhaila Obaidalla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Suhaila Obaidalla was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2026PECOS Enrolled

902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5872 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Apr 5, 2026, Mar 25, 2026 (3 updates tracked since 2026).

On this page

About Dr. Suhaila Obaidalla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUHAILA OBAIDALLA MD (NPI 1164360467) is an individual student in an organized health care education/training program in Pueblo, Colorado and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164360467

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SUHAILA OBAIDALLACredential: MD

Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597

Mailing Address902 Lakeview AvePueblo, CO 81004-3597 · (719) 557-5872

Phone(719) 557-5872

Sole ProprietorNo

Enumeration DateMarch 25, 2026

Last NPPES UpdateMay 5, 20263 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1164360467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License TL.0010045 (CO)

902 LAKEVIEW AVE, Pueblo, CO 81004

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Suhaila Obaidalla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAMILA TERESA ROBLES DO

Family Medicine