Active NPI
Ghousia Sultana, M.D.
- Internal Medicine Physician
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D56691
- Practice address
- 12107 Heritage Park Cir
Silver Spring, MD 20906-4555 - Phone
- (301) 949-7000
- Fax
- (301) 949-7029
- NPI assigned
- May 22, 2006
- Last updated
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D56691 | MD | Primary |
| Hematology (Internal Medicine) Physician | 207RH0000X | D56691 | MD |
Addresses
Primary practice location
12107 Heritage Park Cir
Silver Spring, MD 20906-4555
Mailing address
12107 Heritage Park Cir
Silver Spring, MD 20906-4555
Phone (301) 949-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 699564100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12107 Heritage Park Cir
Silver Spring, MD 20906-4555
Phone (301) 949-7000
12107 Heritage Park Circle
Silver Spring, MD 20906-4555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D56691 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Ghousia Sultana, M.D, P.a. | Hematology | Current | Accepting new patients |
| Muslim Community Center | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Internal Medicine | Past | Accepting new patients |
| Genesis Eldercare Physician Services LLC | Past | Accepting new patients |
Locations
12107 Heritage Park Cir
Silver Spring, MD 20906
Phone (301) 949-7000
15200 New Hampshire Ave
Silver Spring, MD 20905
Phone (301) 384-2166
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.
-
- Hematology (Internal Medicine) Physician
- Silver Spring, MD
- NPI 1538349782
DC
-
dba MCC Medical Clinic
- Community Health Clinic/Center
- Silver Spring, MD
- NPI 1851660526
DC
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1588690135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1346294279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12107 HERITAGE PARK CIR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209064555",
"telephone_number": "301-949-7000",
"fax_number": "301-949-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12107 HERITAGE PARK CIR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209064555",
"telephone_number": "301-949-7000",
"fax_number": "301-949-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTANA",
"first_name": "GHOUSIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D56691",
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "MD",
"license": "D56691",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "699564100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
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- Katie Michelle Sullivan, NP
- Mark Sullivan
- Megan Elizabeth Sullivan
- Sarah Sullivan, LCSW-C
- Sumana Kafle DDS, LLC (Silver Spring Pediatric Dentistry)
- Sumesh Potluri DMD MSD PC (Silver Spring Endodontics)
- Jeff Lee Summers, M.D.
- Summit Ambulatory Surgical Center, LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.