NAFEESA SULTANA D.O
NPI 1104246172
Pediatrics in Washington, DC

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Mar 17, 2018, Jul 11, 2017 (3 updates tracked since 2017).

About Nafeesa Sultana D.o NPPES

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

NAFEESA SULTANA D.O (NPI 1104246172) is an individual pediatrics provider in Washington, District Of Columbia, licensed in Virginia (0102204921) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104246172
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNAFEESA SULTANACredential: D.O
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address111 Michigan Ave Nw Ste 4800Washington, DC 20010-2916 · (202) 476-6017
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateNovember 17, 20203 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
NPI 1104246172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in VA · 0102204921
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
111 MICHIGAN AVE NW, Washington, DC 20010

Other Names 1

Professional Name (2)Nafeesa Sultana D.o

Secondary Practice Locations 2

Location 1500 University DrHershey, PA 17033-2360 · Phone (717) 531-5685
Location 21001 Sam Perry BlvdFredericksburg, VA 22401-4453 · Phone (571) 766-6644

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nafeesa Sultana D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870825714
PECOS Enrollment IDI20231009000566
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

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.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

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 Nafeesa Sultana's NPI number?

The NPI number for Nafeesa Sultana is 1104246172. It was assigned to this individual provider in the NPPES registry on April 17, 2014. The provider is also known as Nafeesa Sultana D.O.

Where is Nafeesa Sultana located?

Nafeesa Sultana practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

What is Nafeesa Sultana's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nafeesa Sultana enrolled in Medicare?

Yes. Nafeesa Sultana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nafeesa Sultana accept?

Health plans from UnitedHealthcare list Nafeesa Sultana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nafeesa Sultana affiliated with any hospitals?

According to CMS data, Nafeesa Sultana is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Nafeesa Sultana was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.