Active NPI
Ibrahim A Sultan-Ali, MD
- Pulmonary Disease Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD37191
- Practice address
- 890 Madison Ave
Memphis, TN 38103-3409 - Phone
- (901) 515-3028
- Fax
- (844) 308-5077
- NPI assigned
- Sep 14, 2006
- Last updated
- Jun 25, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 37191 | TN | |
| Pulmonary Disease Physician | 207RP1001X | MD37191 | TN | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 37191 | TN |
Addresses
Primary practice location
890 Madison Ave
Memphis, TN 38103-3409
Mailing address
9692 Woodland Vista Dr
Cordova, TN 38018-3621
Phone (865) 776-7348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8066 Walnut Run Rd
Suite 100
Cordova, TN 38018-8842
Phone (901) 881-2260
890 Madison Ave
Memphis, TN 38103-3409
Phone (865) 776-7348
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD37191 | TN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep and Pulmounary Speacialists PLLC | Critical Care Medicine | Current | Accepting new patients |
| Midsouth Sleep Diagnostic Center Inc | Current | Accepting new patients | |
| Regional Med Extended Care Hospital, LLC | Past | Accepting new patients | |
| Southeastern Intensivist Services PC | Past | Accepting new patients |
Locations
8066 Walnut Run Rd
Ste 205
Cordova, TN 38018
Phone (901) 405-1005
1669 Kirby Pkwy
Ste 110
Memphis, TN 38120
Phone (901) 755-8891
890 Madison Ave
Memphis, TN 38103
Phone (865) 776-7348
890 Madison Ave
Fl 4
Memphis, TN 38103
Phone (775) 445-8795
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Care Medicine (Internal Medicine) Physician
- Memphis, TN
- NPI 1154506210
-
- Sleep Disorder Diagnostic Clinic/Center
- Cordova, TN
- NPI 1437041068
-
dba American Sleep Medicine
- Sleep Disorder Diagnostic Clinic/Center
- Memphis, TN
- NPI 1659461978
-
dba Regional One Health Extended Care Hospital
- Long Term Care Hospital
- Memphis, TN
- NPI 1790197945
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Regional One Health Extended Care Hospital
- Long Term Care Hospital
- Memphis, TN
- NPI 1790197945
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1235234808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9692 WOODLAND VISTA DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380183621",
"telephone_number": "865-776-7348",
"fax_number": "901-255-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033409",
"telephone_number": "901-515-3028",
"fax_number": "844-308-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN-ALI",
"first_name": "IBRAHIM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TN",
"license": "37191",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "MD37191",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TN",
"license": "37191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.