Individual provider Active NPI

Nohail Sultan Syed, ASSISTANT PHYSICIAN

  • Internal Medicine Physician
  • Joplin, MO
National Provider Identifier
1366031353
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020037050 Issued in MO
Practice address
2613 S Main St Ste D
Joplin, MO 64804-2633
Phone
(417) 553-7920
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2020037050 MO Primary

Addresses

Primary practice location

2613 S Main St Ste D
Joplin, MO 64804-2633

Mailing address

5055 Von Scheele Dr Apt 428
San Antonio, TX 78229-4352
Phone (210) 309-0514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020037050MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Medical, LLC Internal Medicine CurrentSince Oct 2, 2022 Accepting new patients
Ali Internal Medicine Associates, PC Internal Medicine CurrentSince Jan 17, 2021 Accepting new patients

Locations

2613 S Main St
Ste D
Joplin, MO 64804
Phone (417) 553-7920

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1366031353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 VON SCHEELE DR APT 428",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294352",
            "telephone_number": "210-309-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 S MAIN ST STE D",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042633",
            "telephone_number": "417-553-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "NOHAIL",
        "middle_name": "SULTAN",
        "credential": "ASSISTANT PHYSICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020037050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.