Individual provider Active NPI

Sultan O. Niazi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Goshen, IN
National Provider Identifier
1801874441
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
01055340A Issued in IN
Practice address
2417 S Berkshire Rd
Goshen, IN 46526-6815
Phone
(574) 534-9911
Fax
(574) 534-6915
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01055340A IN
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01055340A IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01055340A IN Primary

Addresses

Primary practice location

2417 S Berkshire Rd
Goshen, IN 46526-6815

Mailing address

2016 S Main St
Goshen, IN 46526-5236

Other practice location 1

2016 S Main St
Goshen, IN 46526-5236
Phone (574) 533-1120

Other practice location 2

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-2217

Other identifiers 2

IdentifierTypeStateIssuer
P01015908OtherINRR MEDICARE PTAN
200400460MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sniazi479758@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060117000553 IN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 6709800840 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Sleep Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

2016 S Main St
Goshen, IN 46526-5236
Phone (574) 533-1120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Health System Inc Current Accepting new patients
Goshen Hospital Association Inc Current Accepting new patients
Parkview Health System, Inc. CurrentSince Jan 6, 2022 Accepting new patients
Apogee Medical Group Indiana PC CurrentSince Dec 1, 2019 Accepting new patients
Select Specialty Hospital - Evansville LLC Current Accepting new patients
Select Specialty Hospital - Evansville, LLC CurrentSince Jul 21, 2013 Accepting new patients
Deaconess Hospital Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients

Locations

400 SE 4th St
Evansville, IN 47713
Phone (812) 421-2312

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Interoperability endpoints

  • Direct secure messaging: sniazi9979@ecommunitydirect.com
  • Direct secure messaging: sultan.niazi@goshenhealthdirect.com
  • Direct secure messaging: sniazi479758@direct.parkviewexchange.com

Organizations & group practices 10

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1801874441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 S BERKSHIRE RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266815",
            "telephone_number": "574-534-9911",
            "fax_number": "574-534-6915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265236",
            "country_code": "US",
            "telephone_number": "574-533-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 High Park Ave",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465264810",
            "country_code": "US",
            "telephone_number": "574-364-2217",
            "fax_number": "574-364-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIAZI",
        "first_name": "SULTAN",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01055340A",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01055340A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01055340A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01015908",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200400460",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sniazi479758@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.