Individual provider Active NPI

Syed Zia Ullah, MD

  • Student in an Organized Health Care Education/Training Program
  • Flushing, NY
National Provider Identifier
1710514112
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
Newyork-Presbyterian Queens 56-45 Main Street Flushing,
Flushing, NY 11355-1135
Phone
(718) 670-1507
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101287175 VA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

Newyork-Presbyterian Queens 56-45 Main Street Flushing,
Flushing, NY 11355-1135

Mailing address

Newyork-Presbyterian Queens 56-45 Main Street Flushing,
Flushing, NY 11355
Phone (718) 670-1507

Other practice location 1

432 McLaws Cir Ste 100A
Williamsburg, VA 23185-5887
Phone (757) 984-9650

Other names 1

  • Syed Zia Ullah Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Allscripts Health Information Exchange (HIE)

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
I20251118005120 VA Practitioner - Internal Medicine 6709377682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

432 McLaws Cir
Suite 100a
Williamsburg, VA 23185-5646
Phone (757) 984-9650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101287175VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients
Sentara Hospitals PastSince Oct 1, 2025 Accepting new patients

Locations

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

432 McLaws Cir
Ste 100A
Williamsburg, VA 23185
Phone (757) 984-9650

Interoperability endpoints

  • Direct secure messaging: sullah1081743@direct.sentara.net

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 2

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1710514112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEWYORK-PRESBYTERIAN QUEENS 56-45 MAIN STREET FLUSHING,",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-670-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEWYORK-PRESBYTERIAN QUEENS 56-45 MAIN STREET FLUSHING,",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551135",
            "telephone_number": "718-670-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 McLaws Cir Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231855887",
            "country_code": "US",
            "telephone_number": "757-984-9650",
            "fax_number": "757-510-9232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLAH",
        "first_name": "SYED",
        "middle_name": "ZIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101287175",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Allscripts",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "NewYork-Presbyterian Queens 56-45 Main Street Flushing,",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113551135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SYED",
            "last_name": "ULLAH",
            "middle_name": "ZIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.