Individual provider Active NPI

Kishwar Sultana Sial, M.D

  • Internal Medicine Physician
  • Ft Myer, VA
National Provider Identifier
1679557185
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101050549 Issued in VA
Practice address
401 Carpenter Rd
Ft Myer, VA 22211-1009
Phone
(703) 696-2977
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101050549 VA Primary

Addresses

Primary practice location

401 Carpenter Rd
Ft Myer, VA 22211-1009

Mailing address

8709 Margaret LN
Annandale, VA 22003-4176
Phone (703) 425-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170201002388 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9739363904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101050549VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1679557185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8709 MARGARET LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220034176",
            "telephone_number": "703-425-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CARPENTER RD",
            "city": "FT MYER",
            "state": "VA",
            "postal_code": "222111009",
            "telephone_number": "703-696-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAL",
        "first_name": "KISHWAR",
        "middle_name": "SULTANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101050549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Myer, VA

Sources for this page

Verify at the official NPI Registry.