Individual provider Active NPI

Zakia Sultana, DPM

  • Podiatrist
  • Detroit, MI
National Provider Identifier
1629419353
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901400368 Issued in MI
Practice address
20001 W 7 Mile Rd
Detroit, MI 48219-3403
Phone
(313) 794-5111
Fax
(313) 794-5153
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901400368 MI Primary
Podiatrist 213E00000X 01601 MD

Addresses

Primary practice location

20001 W 7 Mile Rd
Detroit, MI 48219-3403

Mailing address

20001 W 7 Mile Rd
Detroit, MI 48219-3403
Phone (313) 794-5111

Other identifiers 1

IdentifierTypeStateIssuer
479188600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161201000156 MD Practitioner - Podiatry 5496035826 Reassigns benefits to 1 organization
I20220119000927 MI Practitioner - Podiatry 5496035826 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400368MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cass River Health Plaza PLLC CurrentSince Dec 6, 2021 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Oct 2, 2016 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Oct 2, 2016 Accepting new patients
Dedicated Physicians Group of Michigan PLLC PastSince Mar 28, 2021 Accepting new patients

Locations

63 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 696-0600

8028 Ritchie Hwy
Ste 100
Pasadena, MD 21122
Phone (410) 356-9939

1600 E Gude Dr
Ste 200
Rockville, MD 20850

6940 Dixie Hwy
Bridgeport, MI 48722
Phone (989) 746-0933

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15125/brand/1/csg/1/fhir/r4
  • Direct secure messaging: zakia.sultana.1@15125.direct.athenahealth.com

Organizations & group practices 5

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1629419353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111",
            "fax_number": "313-794-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111",
            "fax_number": "313-794-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANA",
        "first_name": "ZAKIA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901400368",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479188600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.