Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KHALIFA AL-SULAITI MD
NPI 1679304802
Student in an Organized Health Care Education/Training Program in Richmond, VA

Q: What is Khalifa Al-sulaiti's NPI number?

The NPI number for Khalifa Al-sulaiti is 1679304802. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Q: What is Khalifa Al-sulaiti's specialty?

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

Active since August 09, 2024PECOS Enrolled

417 N 11TH ST, RICHMOND, VA 23298(804) 828-8786(804) 828-5466 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Aug 9, 2024 (2 updates tracked since 2024).

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About Khalifa Al-sulaiti Md NPPES

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

KHALIFA AL-SULAITI MD (NPI 1679304802) is an individual student in an organized health care education/training program in Richmond, Virginia, licensed in Virginia (0116039393) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in South Hill.

NPPES Registry Identity

NPI1679304802

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKHALIFA AL-SULAITICredential: MD

Location Address417 N 11TH STRichmond, VA 23298-5024

Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783

Phone(804) 828-8786

Fax(804) 828-5466

Sole ProprietorNo

Enumeration DateAugust 9, 2024

Last NPPES UpdateJune 21, 20262 updates tracked since enumeration

NPPES CertifiedJune 21, 2026

✔ NPI 1679304802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code390200000X

License✔ Licensed in VA · 0116039393

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.

417 N 11TH ST, Richmond, VA 23298

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Secondary Practice Location 1

Location 11755 N Mecklenburg AveSouth Hill, VA 23970-4080 · Phone (434) 584-5540

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khalifa Al-sulaiti 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.

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.

JENNIFER J. COX AGACNP-BC

Nurse Practitioner (Acute Care)