Individual provider Active NPI

Aya Sultan, MD, PHD

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1528265147
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14778 Issued in HI
Practice address
900 Fort Street Mall
Suite 1040
Honolulu, HI 96813-3721
Phone
(808) 638-3100
Fax
(808) 638-3400
NPI assigned
Jun 28, 2007
Last updated
Nov 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4560 HI
Obstetrics & Gynecology Physician 207V00000X A104822 CA
Obstetrics & Gynecology Physician 207V00000X 14778 HI Primary

Addresses

Primary practice location

900 Fort Street Mall
Suite 1040
Honolulu, HI 96813-3721

Mailing address

900 Fort Street Mall
Suite 1040
Honolulu, HI 96813-3721
Phone (808) 638-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20121024000572 HI Practitioner - Obstetrics/Gynecology 7214099944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Fort St Mall
Suite 1040
Honolulu, HI 96813-3701
Phone (808) 638-3100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14778HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honu Women's Health, LLC Obstetrics & Gynecology CurrentSince Oct 30, 2015 Accepting new patients

Locations

900 Fort Street Mall
Ste 1040
Honolulu, HI 96813
Phone (808) 638-3100

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1528265147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FORT STREET MALL",
            "address_2": "SUITE 1040",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133721",
            "telephone_number": "808-638-3100",
            "fax_number": "808-638-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FORT STREET MALL",
            "address_2": "SUITE 1040",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133721",
            "telephone_number": "808-638-3100",
            "fax_number": "808-638-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "AYA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "HI",
            "license": "4560",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A104822",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "14778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.