Individual provider Active NPI

Sultana Alkon, MD

  • Pediatrics Physician
  • Fort Lauderdale, FL
National Provider Identifier
1669532768
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME126460 Issued in FL
Practice address
2866 E Oakland Park Blvd Ste 2
Ft Lauderdale, FL 33306-1819
Phone
(954) 462-8323
Fax
(954) 463-1149
NPI assigned
Dec 11, 2006
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME126460 FL Primary

Addresses

Primary practice location

2866 E Oakland Park Blvd Ste 2
Ft Lauderdale, FL 33306-1819

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 462-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160701001463 FL Practitioner - Pediatric Medicine 9032358643 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Emergency Medicine of Broward LLC CurrentSince May 1, 2022 Accepting new patients
Phoenix Pediatrics of Broward LLC Pediatrics CurrentSince Aug 25, 2015 Accepting new patients
Phoenix Pediatrics of Broward LLC Pediatrics Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince May 1, 2022 Accepting new patients
North Broward Hospital District PastSince Sep 26, 2016 Accepting new patients
Banner Childrens Banner Health Clinic LLC Past Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

5565 Centerview Dr
Ste 1017
Raleigh, NC 27606
Phone (919) 425-1526

Organizations & group practices 7

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1669532768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-462-8323",
            "fax_number": "954-463-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2866 E OAKLAND PARK BLVD STE 2",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061819",
            "telephone_number": "954-462-8323",
            "fax_number": "954-463-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKON",
        "first_name": "SULTANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME126460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.