Individual provider Active NPI

Ayisat Sulyman

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1508246646
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP128092 Issued in TX
Practice address
6410 Fannin St
Houston, TX 77030-3000
Phone
(832) 325-6500
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP128092 TX Primary

Addresses

Primary practice location

6410 Fannin St
Houston, TX 77030-3000

Mailing address

6431 Fannin Street, JJL S80
Houston, TX 77030-3007
Phone (713) 500-6180

Other practice location 1

6510 Anthonia Ln
Richmond, TX 77406-4686
Phone (832) 228-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150909001433 TX Practitioner - Nurse Practitioner 5597815597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Physicians Specialty ServicesGroup PAC ID 2567544570, 83 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Suite 170
Houston, TX 77030-3003
Phone (832) 325-6500

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128092TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alief Geriatrics Associates, P.a. CurrentSince Aug 1, 2015 Accepting new patients
Ut Physicians Specialty Services CurrentSince Jul 1, 2021 Accepting new patients
Ut Physicians Nurse Practitioner Past Accepting new patients
Citi EMS, Inc. Past Accepting new patients

Locations

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

1801 North Loop W
Ste 40
Houston, TX 77008
Phone (713) 426-0609

6410 Fannin St
Ste 170
Houston, TX 77030
Phone (713) 704-6500

Interoperability endpoints

  • Direct secure messaging: asulyman26899@direct.uth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1508246646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN STREET, JJL S80",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303007",
            "telephone_number": "713-500-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303000",
            "telephone_number": "832-325-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 Anthonia Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774064686",
            "country_code": "US",
            "telephone_number": "832-228-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULYMAN",
        "first_name": "AYISAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP128092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.