Active NPI
Ajmal Aziz Sultan, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Titusville, FL
National Provider Identifier
1245432459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ME107032
- Practice address
- 836 Century Medical Dr
Titusville, FL 32796-2141 - Phone
- (321) 383-8092
- Fax
- (321) 383-1043
- NPI assigned
- Jun 1, 2007
- Last updated
- Aug 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ME107032 | FL | Primary |
Addresses
Primary practice location
836 Century Medical Dr
Titusville, FL 32796-2141
Mailing address
8043 Spyglass Hill Rd
Melbourne, FL 32940-8563
Phone (321) 255-6670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1495H | Other | FL | BCBS FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME107032 | FL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abdul Naushad MD PC | Pain Medicine | Past | Accepting new patients |
| Millenium Medical Management LLC | Pain Medicine | Past | Accepting new patients |
| Vip Neurology | Past | Accepting new patients | |
| Dr Tanya Schrumpf DC Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17832/brand/2/csg/41/fhir/r4
Organizations & group practices 4
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.
-
dba Florida Spinal Rehab
- Rehabilitation Chiropractor
- Titusville, FL
- NPI 1841404241
-
dba Deuk Spine Institute, Deuk Joint Institute, Injury Treatment Group
- Neurological Surgery Physician
- Melbourne, FL
- NPI 1366645376
Pain Medicine
-
- Neurology Physician
- Merritt Island, FL
- NPI 1659774685
-
dba Advanced Pain Center
- Pain Medicine Physician
- Poplar Bluff, MO
- NPI 1306839196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1245432459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8043 SPYGLASS HILL RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329408563",
"telephone_number": "321-255-6670",
"fax_number": "321-242-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 CENTURY MEDICAL DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327962141",
"telephone_number": "321-383-8092",
"fax_number": "321-383-1043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "AJMAL",
"middle_name": "AZIZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "ME107032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "1495H",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.