Individual provider Active NPI

Ayesha Sultana, MD

  • Pediatrics Physician
  • Apex, NC
National Provider Identifier
1093909137
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2008-01657 Issued in NC
Practice address
1001 W Williams St
Suite 102, Apex Medical Park
Apex, NC 27502-3978
Phone
(919) 300-7726
Fax
(919) 300-7688
NPI assigned
Aug 31, 2007
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2008-01657 NC Primary

Addresses

Primary practice location

1001 W Williams St
Suite 102, Apex Medical Park
Apex, NC 27502-3978

Mailing address

5509 Southern Cross Ave
Raleigh, NC 27606-4015
Phone (919) 337-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-01657NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shifa Pediatric Clinic,PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ayesha.sultana.1@3903.direct.athenahealth.com
  • Direct secure messaging: ayesha.sultana.2@3903.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3903/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1093909137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 SOUTHERN CROSS AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064015",
            "telephone_number": "919-337-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W WILLIAMS ST",
            "address_2": "SUITE 102, APEX MEDICAL PARK",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023978",
            "telephone_number": "919-300-7726",
            "fax_number": "919-300-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2008-01657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.