Active NPI
Ali Sultan-Qurraie, M.D.
- Vascular Neurology Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- MD60405480
- Practice address
- 400 S 43Rd St
Renton, WA 98055-5714 - Phone
- (425) 656-5566
- Fax
- (425) 656-5567
- NPI assigned
- Jul 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD60405480 | WA | |
| Neurology Physician | 2084N0400X | 64358 | WI | |
| Neurocritical Care Physician | 2084A2900X | MD60405480 | WA | |
| Neurology Physician | 2084N0400X | 35133254 | OH | |
| Neurology Physician | 2084N0400X | A131959 | CA | |
| Vascular Neurology Physician | 2084V0102X | MD60405480 | WA | Primary |
Addresses
Primary practice location
400 S 43Rd St
Renton, WA 98055-5714
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057
Phone (425) 690-2715
Other practice location 1
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-8019
Other practice location 2
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-8019
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114156940 | Medicaid | WI | |
| 2019320 | Medicaid | WA | |
| G8986110 | Other | WA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WI, OH, WA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12039 NE 128TH St
Suite 500
Kirkland, WA 98034-3029
Phone (425) 899-2365
400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3450
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
- Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131959 | CA | MD | Neurology Physician |
| 35133254 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Mercy Health Physicians-North LLC | Internal Medicine | Current | Accepting new patients |
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Virginia Mason Medical Center | Neurology | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Valley Medical Group-Renton | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Billings Clinic | Past | Accepting new patients | |
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients | |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations (25 of 26)
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
2222 Cherry St
Ste M200
Toledo, OH 43608
Phone (419) 251-1155
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
12039 NE 128th St
Ste 500
Kirkland, WA 98034
Phone (425) 899-1220
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
3600 Lind Ave SW
Ste 100
Renton, WA 98057
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
Interoperability endpoints
- asultanqurraie73439@direct.valleymed.org
Organizations & group practices 23
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
Internal Medicine
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1114156940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100 ATTN CREDENTIALING",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-690-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 43RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980555714",
"telephone_number": "425-656-5566",
"fax_number": "425-656-5567"
}
],
"practiceLocations": [
{
"address_1": "2213 Cherry St",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "43608",
"country_code": "US",
"telephone_number": "419-251-8019",
"fax_number": "419-251-5819",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2213 Cherry St",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "43608",
"country_code": "US",
"telephone_number": "419-251-8019",
"fax_number": "419-251-5819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULTAN-QURRAIE",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD60405480",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "64358",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "WA",
"license": "MD60405480",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35133254",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A131959",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "WA",
"license": "MD60405480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114156940",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019320",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G8986110",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.