Sultan Mohammad, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38055 Issued in AZ

Practice address

1300 S Watson Rd
Ste 104
Buckeye, AZ 85326-6303

Phone

(623) 251-3201

Fax

(623) 251-3205

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Khakwani and Mohammad Medical PCGroup PAC ID 8527412659, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of America, LLC Hospice, Mesa, AZ, CCN 031673

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smohammad141214@pdshealth.direct-ci.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice of America LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1952853632

  W-2 Managing Employee

  CMS ownership
• Serenity Ridge Palliative and Hospice Care

  • Community Based Hospice Care Agency
  • Porter Ranch, CA
  • NPI 1912545930

  Contracted Managing Employee

  CMS ownership

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.

• Khakwani and Mohammad Medical PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1518672278
  Medicare reassignment Care Compare group NPD
• Khakwani and Mohammad Medical PC

  • Family Medicine Physician
  • Buckeye, AZ
  • NPI 1255046918
  NPD
• Khakwani and Mohammad Medical PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1932968369
  NPD
• Khakwani and Mohammad Medical PC

  • Family Medicine Physician
  • Laveen, AZ
  • NPI 1720784499
  NPD (past)
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Payson, AZ
  • NPI 1740459700
  NPD (past)
• Serenity Ridge Palliative and Hospice Care

  • Community Based Hospice Care Agency
  • Porter Ranch, CA
  • NPI 1912545930

  Family Medicine

  NPD (past)
• Yates Emergency Physicians

  • Emergency Medicine Physician
  • Anna, IL
  • NPI 1205874336
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospice of America LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1952853632
  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1760699888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322139",
            "telephone_number": "602-633-3838",
            "fax_number": "602-633-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD",
            "address_2": "STE 104",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266303",
            "telephone_number": "623-251-3201",
            "fax_number": "623-251-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "SULTAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "38055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "336079063",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "38055",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311203",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latasia Miles
• Woodrow Eugene Miller III, MA, LIAC
• Mindbender Counseling, Inc
• Jacqueline Yaribel Miranda
• Marshawn Mitchell Sr.
• Elisa Montanez, RDH
• Veronica Montefusco, RPH
• Louis Jose Montesdeoca
• Elisabeth Morcom, LAT, ATC
• Anita Morgan

• Family Medicine Physician in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.