Organization Active NPI

Sultanas Medical Wny PLLC

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1245094879
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SULTANAS MEDICAL WNY PLLC
Practice address
2821 Wehrle Dr
Buffalo, NY 14221-7386
Phone
(716) 908-6374
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Razia SultanaNPI 1104026905
Title
Owner
Phone
(425) 772-5172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2821 Wehrle Dr
Buffalo, NY 14221-7386

Mailing address

6319 Everwood CT S
East Amherst, NY 14051-2031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240801000057 NY Part B Supplier - Clinic/Group Practice 3274070800 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

2821 Wehrle Dr
Ste 1
Williamsville, NY 14221
Phone (716) 626-4878

2821 Wehrle Dr
Williamsville, NY 14221
Phone (716) 908-6374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1245094879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 EVERWOOD CT S",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 WEHRLE DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142217386",
            "telephone_number": "716-908-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULTANAS MEDICAL WNY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "SULTANA",
        "authorized_official_first_name": "RAZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-772-5172"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.