Active NPI
Munawar Sultana, M.D
- Family Medicine Physician
- Arlington Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036130663
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036130663 | Medicaid | IL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036130663 | IL | MD | Federally Qualified Health Center (FQHC) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Federally Qualified Health Center (FQHC) | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1699701383
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1427547538
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1962425611
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1871581314
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.