Individual provider Active NPI

Munawar Sultana, M.D

  • Family Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1396978979
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036130663 Issued in IL
Practice address
1120 N Arlington Heights Rd
Arlington Heights, IL 60004-4767
Phone
(847) 342-1554
Fax
(608) 371-8938
NPI assigned
Aug 28, 2009
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 036130663 IL
Family Medicine Physician 207Q00000X 036130663 IL Primary

Addresses

Primary practice location

1120 N Arlington Heights Rd
Arlington Heights, IL 60004-4767

Mailing address

1120 N Arlington Heights Rd
Arlington Heights, IL 60004-4767
Phone (847) 342-1554

Other identifiers 1

IdentifierTypeStateIssuer
036130663MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140609000707 IL Practitioner - Family Practice 7416171681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

1120 N Arlington Heights Rd
Arlington Heights, IL 60004-4767
Phone (847) 342-1554

2533 W Cermak Rd
Chicago, IL 60608-3719
Phone (773) 523-0900

3090 S Cicero Ave
Cicero, IL 60804-3638
Phone (708) 780-9777

3229 -43 W 47TH PL
Chicago, IL 60632-3011
Phone (773) 254-6044

5159 S Ashland Ave
Chicago, IL 60609-4931
Phone (773) 434-9216

6240 W 55TH St
Chicago, IL 60638-2531
Phone (773) 284-2200

7450 W 63Rd St
Summit, IL 60501-1816
Phone (708) 458-0757

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036130663ILMDFederally Qualified Health Center (FQHC)

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Federally Qualified Health Center (FQHC) CurrentSince Mar 9, 2020 Accepting new patients
Access Community Health Network Federally Qualified Health Center (FQHC) Current Accepting new patients

Locations

1120 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 342-1554

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

Interoperability endpoints

  • Direct secure messaging: msultana17132@direct.achn.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1396978979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044767",
            "telephone_number": "847-342-1554",
            "fax_number": "608-371-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044767",
            "telephone_number": "847-342-1554",
            "fax_number": "608-371-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "MUNAWAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "IL",
            "license": "036130663",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036130663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036130663",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.