NPIMap

Individual provider Active NPI

Sundus Latif, M.D.

  • Neurology Physician
  • Watertown, NY
National Provider Identifier
1225287311
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
266120 Issued in NY
Practice address
1340 Washington St
Watertown, NY 13601-4541
Phone
(315) 782-9003
Fax
(315) 782-9010
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 266120 NY Primary

Addresses

Primary practice location

1340 Washington St
Watertown, NY 13601-4541

Mailing address

PO Box 91
Watertown, NY 13601-0091
Phone (315) 782-4207

Other identifiers 1

IdentifierTypeStateIssuer
03687354MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131126000459 NY Practitioner - Neurology 3779719596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of Ny Upstate Medical University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Country Neurology PCGroup PAC ID 6608855416, 5 clinicians

Practice addresses (Care Compare)

1340 Washington St
Watertown, NY 13601-4541
Phone (315) 782-9003

Hospital & facility affiliations

  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
  • Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
  • River Hospital Clinics Hospital, Alexandria Bay, NY, CCN 331309

Merit-based Incentive Payment System (MIPS)

Final score
84.55 of 100Reported as individual
Quality
65.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.06 of 100Reported as group
Quality
92.53
Promoting interoperability
100
Improvement activities
40
Cost
66.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266120NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Medical Service Group, LLP Neurology CurrentSince Sep 1, 2013 Accepting new patients
North Country Neurology PC CurrentSince Sep 16, 2013 Accepting new patients

Locations

90 Presidential Plz
#4
Syracuse, NY 13202
Phone (315) 464-4243

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

1340 Washington St
Watertown, NY 13601
Phone (315) 755-6099

Interoperability endpoints

  • Direct secure messaging: sundusl@ncn.medentdirect.com
  • Direct secure messaging: slatif6865@direct.upstate.edu

Organizations & group practices 2

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 8

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1225287311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136010091",
            "telephone_number": "315-782-4207",
            "fax_number": "315-782-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014541",
            "telephone_number": "315-782-9003",
            "fax_number": "315-782-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIF",
        "first_name": "SUNDUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "266120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03687354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.