Individual provider Active NPI

Ahmad Adnan Sultan, MD

  • Physical Medicine & Rehabilitation Physician
  • Albany, NY
National Provider Identifier
1003831405
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
192492 Issued in NY
Practice address
301 Hackett Blvd
Albany, NY 12208-1963
Phone
(518) 793-9820
Fax
(518) 793-7517
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 192492 NY Primary

Addresses

Primary practice location

301 Hackett Blvd
Albany, NY 12208-1963

Mailing address

PO Box 8418
Albany, NY 12208-0418
Phone (518) 793-9820

Other identifiers 1

IdentifierTypeStateIssuer
01487030MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20080728000744 NY Practitioner - Physical Medicine and Rehabilitation 5991879728 Practice locations: Albany, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
192492NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Nursing and Rehabilitation Center Inc CurrentSince Jul 9, 2016 Accepting new patients
Orthopedicsny, LLP Past Accepting new patients
Our Lady of Mercy Life Center Past Accepting new patients
Ahmad a Sultan MD PLLC Physical Medicine & Rehabilitation PastSince Jan 1, 1990 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

297 N Ballston Ave
Scotia, NY 12302
Phone (518) 370-4700

Interoperability endpoints

  • Direct secure messaging: asultan788722@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1003831405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8418",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122080418",
            "telephone_number": "518-793-9820",
            "fax_number": "518-793-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081963",
            "telephone_number": "518-793-9820",
            "fax_number": "518-793-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "AHMAD",
        "middle_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "192492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01487030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.