Active NPI
Aqib Sultan, MD
- Internal Medicine Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD200233
- Practice address
- 100 Medical Center Drive
Slidell, LA 70461-5520 - Phone
- (985) 649-7070
- NPI assigned
- Mar 1, 2006
- Last updated
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200233 | LA | |
| Internal Medicine Physician | 207R00000X | MD200233 | LA | Primary |
Addresses
Primary practice location
100 Medical Center Drive
Slidell, LA 70461-5520
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1628573 | Medicaid | LA | |
| P00865240 | Other | LA | RRMCARE |
| P00996840 | Other | LA | RAILROAD MCARE |
| P00743847 | Other | MS | MEDICARE RR |
| P00993210 | Other | LA | RRMCARE THRU IMC |
| P00817315 | Other | MS | RAILROAD MCARE THRU HCCN |
| 00204318 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Slidell, LA 70461-5520
Phone (985) 646-5100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200233 | LA | MD | Internal Medicine Physician |
| MD200233 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Belle Chasse Physician Services LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Internal Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Internal Medicine | Current | Accepting new patients |
| Ochsner Mississippi, LLC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, Louisiana, Inc. | Current | Accepting new patients | |
| Mary Bird Perkins Cancer Center | Past | Accepting new patients | |
| Slidell Memorial Hospital | Past | Accepting new patients |
Locations
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
71380 Highway 21
Covington, LA 70433
Phone (985) 661-3534
1514 Jefferson Hwy
New Orleans, LA 70121
106 Cypress St
#2
Raceland, LA 70394
Phone (985) 537-2273
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
1850 Gause Blvd E
Slidell, LA 70461
Phone (504) 495-4328
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
Interoperability endpoints
- asultan23484@direct.ochsner.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- Internal Medicine Physician
- Slidell, LA
- NPI 1710269824
-
dba Ochsner Health Center - Zachary
- General Practice Physician
- Zachary, LA
- NPI 1093106452
-
dba Ochsner Urgent Care & Occupational Health - Diamondhead
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
dba Ochsner Health Center - Downtown
- Internal Medicine Physician
- Gulfport, MS
- NPI 1639766132
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1295833580
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
dba Notre Dame Hospice
- Community Based Hospice Care Agency
- Metairie, LA
- NPI 1003118928
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1841267598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DRIVE",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615520",
"telephone_number": "985-649-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "AQIB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "200233",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD200233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1628573",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE",
"identifier": "P00865240",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE",
"identifier": "P00996840",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00743847",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE THRU IMC",
"identifier": "P00993210",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE THRU HCCN",
"identifier": "P00817315",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00204318",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
- Erica Suarez
- Bonnie Anderson Suckow, LPC
- Krista Sudyk, PLPC
- Jessica Moran Suit, NP-C
- Wendy Sullivan, CRNA
- Louis Edmund Summersgill, M.D.
- Suncrest Behavioral Health Services
- Suntree Medical Consulting Services LLC (Sauntrice O'quin)
- Superior Rehabilitation Services, LLC (Action Physical Therapy & Sports Medicine)
- Sureway Transits
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.