Individual provider Active NPI

Maryam Sultan

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1154741312
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R8117 Issued in TX
Practice address
1333 Moursund St
Houston, TX 77030-3405
Phone
(713) 797-5929
NPI assigned
Apr 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X R8117 TX Primary

Addresses

Primary practice location

1333 Moursund St
Houston, TX 77030-3405

Mailing address

1333 Moursund St
Houston, TX 77030-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180814003705 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Plastic and Reconstructive Surgery 9234488917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Icahn School of Medicine at Mount Sinai, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1333 Moursund St
Memorial Hermann Tirr
Houston, TX 77030-3405
Phone (713) 797-5929

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8117TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Jun 29, 2018 Accepting new patients
Ut Physicians CurrentSince Jan 11, 2019 Accepting new patients
Ut Physicians CurrentSince Jan 11, 2019 Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

6909 Burnet Ln
Austin, TX 78757
Phone (216) 570-5674

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

8550 Jason St
Houston, TX 77074
Phone (346) 231-7500

1333 Moursund St
Houston, TX 77030
Phone (713) 797-5912

6431 Fannin St
#550A
Houston, TX 77030

1737 North Loop W
Houston, TX 77008
Phone (713) 867-5551

10800 Flora Mae Meadows Rd
Houston, TX 77089
Phone (832) 328-2350

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

12262 Cityscape Ave
Houston, TX 77047
Phone (201) 654-5397

15880 Wallisville Rd
Houston, TX 77049
Phone (281) 457-6242

3434 Watters Rd
Pasadena, TX 77504
Phone (713) 477-7877

4900 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 998-0399

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

3406 Business Center Dr
Pearland, TX 77584
Phone (346) 570-2284

333 Matlage Way
Sugar Land, TX 77478
Phone (281) 491-2226

519 9th Ave N
Texas City, TX 77590
Phone (409) 949-9499

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

1720 N Logan St
Texas City, TX 77590
Phone (409) 943-4913

Interoperability endpoints

  • Direct secure messaging: msultan59987@memorialhermann.direct-ci.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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1154741312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303405",
            "telephone_number": "713-797-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "MARYAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "R8117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.