Individual provider Active NPI

Harris Chauhdry Sultan, MD

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1669890570
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2018013810 Issued in MO
Practice address
517 S Euclid Ave
Saint Louis, MO 63110-1007
Phone
(314) 362-3431
Fax
(314) 362-6564
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2018013810 MO Primary

Addresses

Primary practice location

517 S Euclid Ave
Saint Louis, MO 63110-1007

Mailing address

660 S Euclid Ave
CB 8096
Saint Louis, MO 63110-1010
Phone (314) 362-3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200831001697 NJ Practitioner - Ophthalmology 4981966322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Connecticut School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

628 Cedar LN
Teaneck, NJ 07666-1704
Phone (201) 837-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants LLC CurrentSince Aug 1, 2020 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients

Locations

50 Newark Ave
Belleville, NJ 07109
Phone (973) 450-0220

50 Newark Ave
Ste 306
Belleville, NJ 07109
Phone (973) 450-0220

315 Elmora Ave
Ste 202
Elizabeth, NJ 07208
Phone (908) 409-4900

182 South St
Ste 5
Morristown, NJ 07960
Phone (201) 267-3944

200 S Broad St
Ridgewood, NJ 07450
Phone (201) 444-0009

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

2952 Vauxhall Rd
Vauxhall, NJ 07088
Phone (908) 349-8155

1044 State Route 23
Ste 207
Wayne, NJ 07470

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1669890570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8096",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-3431",
            "fax_number": "314-362-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101007",
            "telephone_number": "314-362-3431",
            "fax_number": "314-362-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTAN",
        "first_name": "HARRIS",
        "middle_name": "CHAUHDRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2018013810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.