Individual provider Active NPI

Razia Sultana, MD PHD

  • Internal Medicine Physician
  • Amherst, NY
National Provider Identifier
1104026905
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263357 Issued in NY
Practice address
4979 Harlem Rd
Amherst, NY 14226-2547
Phone
(716) 923-4380
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 67804 GA
In Vivo & In Vitro Nuclear Medicine Physician 207UN0903X 67804 GA
Nuclear Cardiology Physician 207UN0901X 67804 GA
Nuclear Imaging & Therapy Physician 207UN0902X 67804 GA
Hospitalist Physician 208M00000X 67804 NY
General Practice Physician 208D00000X 67804 NY
Internal Medicine Physician 207R00000X 263357 NY Primary

Addresses

Primary practice location

4979 Harlem Rd
Amherst, NY 14226-2547

Mailing address

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

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
I20150216001828 NY Practitioner - Nuclear MedicinePractitioner - Addiction MedicinePractitioner - Internal Medicine 6204083603 Reassigns benefits to 3 organizations
Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Addiction Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2821 Wehrle Dr
Suite 1
Williamsville, NY 14221-7386
Phone (716) 626-4878

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67804NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Mid Erie Mental Health Services Inc CurrentSince Jan 2, 2020 Accepting new patients
Sultana'S Medical, LLC Internal Medicine CurrentSince Sep 11, 2022 Accepting new patients
Sultanas Medical Wny PLLC Internal Medicine CurrentSince May 21, 2024 Accepting new patients
Brylin Hospitals, Inc. Past Accepting new patients
M a Stutzman Addiction Treatment Center Past Accepting new patients

Locations

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

2821 Wehrle Dr
Ste 1
Williamsville, NY 14221
Phone (716) 626-4878

Organizations & group practices 6

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1104026905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262547",
            "telephone_number": "716-923-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262547",
            "telephone_number": "716-923-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "RAZIA",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "GA",
            "license": "67804",
            "primary": false
        },
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "GA",
            "license": "67804",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "GA",
            "license": "67804",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "GA",
            "license": "67804",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "67804",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "67804",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "263357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.