Individual provider Active NPI

Sultan Ripon, MD

  • Family Medicine Physician
  • Auburn, NY
National Provider Identifier
1033648662
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
306554 Issued in NY
Practice address
37 W Garden St Ste 201
Auburn, NY 13021-2657
Phone
(315) 567-0777
Fax
(315) 702-8393
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 306554 NY Primary

Addresses

Primary practice location

37 W Garden St Ste 201
Auburn, NY 13021-2657

Mailing address

37 W Garden St Ste 201
Suite 201
Auburn, NY 13021-2657
Phone (315) 567-0777

Other practice location 1

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7011

Other identifiers 1

IdentifierTypeStateIssuer
06124785MedicaidNY

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
I20200922002757 NY Practitioner - Family Practice 4385062462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

37 W Garden St
Suite 203
Auburn, NY 13021-2657
Phone (315) 567-0507

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306554NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC CurrentSince Sep 1, 2020 Accepting new patients
Auburn Memorial Medical Services, PC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients

Locations

161 Genesee St
Ste 203
Auburn, NY 13021
Phone (315) 255-0947

37 W Garden St
Ste 201
Auburn, NY 13021
Phone (315) 567-0777

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

37 W Garden St
Ste 203
Auburn, NY 13021
Phone (315) 253-6257

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • Direct secure messaging: sripon@amms.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1033648662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST STE 201",
            "address_2": "SUITE 201",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212657",
            "telephone_number": "315-567-0777",
            "fax_number": "315-702-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST STE 201",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212657",
            "telephone_number": "315-567-0777",
            "fax_number": "315-702-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Lansing St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211983",
            "country_code": "US",
            "telephone_number": "315-255-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIPON",
        "first_name": "SULTAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "306554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06124785",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.