Individual provider Active NPI

Ali Sultan-Qurraie, M.D.

  • Vascular Neurology Physician
  • Renton, WA
National Provider Identifier
1114156940
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
MD60405480 Issued in WA
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

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1114156940MedicaidWI
2019320MedicaidWA
G8986110OtherWAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI, OH, WA, MT5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140815001920 CA Practitioner - Neurology 4880811710 Reassigns benefits to 1 organization
I20150914001069 WI Practitioner - Neurology 4880811710 Reassigns benefits to 1 organization
I20171027001897 OH Practitioner - NeurologyPractitioner - Vascular Surgery 4880811710 Reassigns benefits to 3 organizations
I20181211002046 WA Practitioner - Neurology 4880811710 Reassigns benefits to 4 organizations
I20221115000615 MT Practitioner - Neurology 4880811710 Reassigns benefits to 1 organization

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
King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

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 Hospital, Renton, WA, CCN 500088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131959CAMDNeurology Physician
35133254OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Aug 1, 2021 Accepting new patients
Billings Clinic Current Accepting new patients
Mercy Health Physicians-North LLC Internal Medicine CurrentSince Oct 23, 2017 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Billings Clinic CurrentSince Sep 18, 2025 Accepting new patients
King County Public Hospital District No 2 Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Oct 23, 2017 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Overlake Medical Clinics LLC CurrentSince Oct 7, 2024 Accepting new patients
County of Santa Clara CurrentSince Nov 13, 2025 Accepting new patients
Virginia Mason Medical Center Neurology CurrentSince Sep 8, 2022 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Virginia Mason Medical Center CurrentSince Sep 8, 2022 Accepting new patients
Valley Medical Group-Renton Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
County of Santa Clara CurrentSince Nov 13, 2025 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

  • Direct secure messaging: 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.

View all 23

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.