Individual provider Active NPI

Ibrahim A Sultan-Ali, MD

  • Pulmonary Disease Physician
  • Memphis, TN
National Provider Identifier
1235234808
Registry record updated Jun 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD37191 Issued in TN
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001624 TN Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2567353741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
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
Well Rested Sleep Specialists PLLCGroup PAC ID 3072001718, 3 clinicians

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

LicenseStateTypeSpecialty
MD37191TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep and Pulmounary Speacialists PLLC Critical Care Medicine CurrentSince Sep 24, 2007 Accepting new patients
Midsouth Sleep Diagnostic Center Inc CurrentSince Aug 31, 2017 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.