Active NPI
Mukhammad Bobur Sultanov, MD
- Internal Medicine Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A203207
- Practice address
- 521 Parnassus Ave
San Francisco, CA 94143-2206 - Phone
- (415) 476-1000
- NPI assigned
- Apr 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | A203207 | CA | Primary |
| Hospitalist Physician | 208M00000X | 1019784 | MA |
Addresses
Primary practice location
521 Parnassus Ave
San Francisco, CA 94143-2206
Mailing address
1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400
Other practice location 1
1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3431
Other practice location 2
455 OConnor Dr Ste 200
San Jose, CA 95128-1632
Phone (408) 283-7676
Other practice location 3
1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400
Other names 1
- Bobur Sultanov
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
- 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1333 Meridian Ave
San Jose, CA 95125-5212
Phone 40844534003730
1642 E Capitol Expy
San Jose, CA 95121-1800
Phone 40844534003730
Hospital & facility affiliations
- Harmony Home Health
- Santa Clara Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1019784 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Indian Health Center of Santa Clara Valley | Current | Accepting new patients | |
| Beth Israel Deaconess Hospital Plymouth, Inc. | Past | Accepting new patients |
Locations
455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666
1333 Meridian Ave
San Jose, CA 95125
1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
Interoperability endpoints
- mukhammadbobur.sultanov.p1@direct.mmc.nextgenshare.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1881997963
-
- Internal Medicine Physician
- Boston, MA
- NPI 1497151773
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1275964488
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1366726903
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Home Health Agency
- San Jose, CA
- NPI 1538469929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1982284329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 MERIDIAN AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255212",
"telephone_number": "408-445-3400",
"fax_number": "408-445-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432206",
"telephone_number": "415-476-1000"
}
],
"practiceLocations": [
{
"address_1": "1642 E Capitol Expy",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951211800",
"country_code": "US",
"telephone_number": "408-445-3431",
"fax_number": "408-238-3874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 OConnor Dr Ste 200",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951281632",
"country_code": "US",
"telephone_number": "408-283-7676",
"fax_number": "408-283-7646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1333 Meridian Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951255212",
"country_code": "US",
"telephone_number": "408-445-3400",
"fax_number": "408-445-1683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULTANOV",
"first_name": "MUKHAMMAD BOBUR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A203207",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "1019784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOBUR",
"last_name": "SULTANOV",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.