RAZIA SULTANA MD PHD
NPI 1104026905
Internal Medicine in Amherst, NY

Active since July 19, 2007PECOS Enrolled
4979 HARLEM RD, AMHERST, NY 14226(716) 923-4380 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Razia Sultana Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAZIA SULTANA MD PHD (NPI 1104026905) is an individual internal medicine provider in Amherst, New York, licensed in New York (263357) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1104026905
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRAZIA SULTANACredential: MD PHD
Location Address4979 HARLEM RDAmherst, NY 14226-2547
Mailing Address4979 Harlem RdAmherst, NY 14226-2547 · (716) 923-4380
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 19, 2007
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1104026905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 263357
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNuclear MedicineTaxonomy 207U00000X · License 67804 (GA)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 67804 (GA)
Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X · License 67804 (GA)
Also ListedNuclear Medicine · In Vivo & In Vitro Nuclear MedicineTaxonomy 207UN0903X · License 67804 (GA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 67804 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 67804 (NY)
4979 HARLEM RD, Amherst, NY 14226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Razia Sultana Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204083603
PECOS Enrollment IDI20150216001828
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Razia Sultana reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Internal Medicine
4979 HARLEM RD
Amherst, NY 14226
  • Reassigned Medicare billing, New York enrollment
  • 84 clinicians in this Medicare group
Counselor
1526 WALDEN AVE, STE 400
Cheektowaga, NY 14225
  • Reassigned Medicare billing, New York enrollment
  • 82 clinicians in this Medicare group
Internal Medicine
2821 WEHRLE DR
Buffalo, NY 14221
  • Reassigned Medicare billing, New York enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
88%34 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4979 HARLEM RD
AMHERST, NY 14226
Family Medicine
4979 HARLEM RD
AMHERST, NY 14226
Internal Medicine
4979 HARLEM RD, SUITE 1
AMHERST, NY 14226
Nurse Practitioner (Adult Health)
4979 HARLEM RD
AMHERST, NY 14226
Physician Assistant
4979 HARLEM RD
AMHERST, NY 14226
Internal Medicine
4979 HARLEM RD
AMHERST, NY 14226
Physician Assistant
4979 HARLEM RD, SUITE 1
AMHERST, NY 14226
Internal Medicine
4979 HARLEM RD, SUITE 1
AMHERST, NY 14226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Razia Sultana's NPI number?

The NPI number for Razia Sultana is 1104026905. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Razia Sultana located?

Razia Sultana practices at 4979 Harlem Rd, Amherst, NY 14226. The listed phone number is (716) 923-4380.

What is Razia Sultana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Razia Sultana enrolled in Medicare?

Yes. Razia Sultana is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Razia Sultana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Razia Sultana reassigns Medicare benefits to 3 organizations: Wny Medical PC (Amherst, NY), Mid Erie Mental Health Services Inc (Cheektowaga, NY) and Sultanas Medical Wny PLLC (Buffalo, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Razia Sultana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Razia Sultana was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.