MAHMOD HABIBULAH I SULTAN MD
NPI 1164795852
Internal Medicine in Edinburg, TX

Active since February 11, 2012PECOS EnrolledAccepts Medicare Assignment
5501 S MCCOLL RD, EDINBURG, TX 78539(956) 362-2171(956) 362-2171 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 30, 2017, Oct 13, 2016 (3 updates tracked since 2016).

About Mahmod Habibulah I Sultan Md NPPES

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

MAHMOD HABIBULAH I SULTAN MD (NPI 1164795852) is an individual internal medicine provider in Edinburg, Texas, licensed in Texas (Q2495) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in Brownsville.

NPPES Registry Identity

NPI1164795852
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAHMOD HABIBULAH I SULTANCredential: MD
Location Address5501 S MCCOLL RDEdinburg, TX 78539
Mailing AddressPo Box 5958Mcallen, TX 78502-5958 · (956) 362-8677 · Fax (956) 362-7253
Fax(956) 362-2171
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 11, 2012
Last NPPES UpdateJune 8, 20183 updates tracked since enumeration
NPI 1164795852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · Q2495
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.
5501 S MCCOLL RD, Edinburg, TX 78539

Secondary Practice Location 1

Location 1191 E. Price RoadBrownsville, TX 07601-3284 · Phone (956) 548-7400 · Fax (956) 621-3689

Other Identifiers 2

Medicaid342640501TX
OtherQ2495TX · Texas Medical Board

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

Mahmod Habibulah I Sultan Md 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 ID9931422433
PECOS Enrollment IDI20150107001901
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
133 services126 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Nurse Practitioner (Acute Care)
5501 S MCCOLL RD
EDINBURG, TX 78539
Nurse Practitioner (Family)
5501 S MCCOLL RD
EDINBURG, TX 78539
Student in an Organized Health Care Education/Training Program
5501 S MCCOLL RD
EDINBURG, TX 78539
Specialist/Technologist, Other (Surgical Technologist)
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Nurse Anesthetist, Certified Registered
5501 S MCCOLL RD
EDINBURG, TX 78539
Internal Medicine
5501 S MCCOLL RD
EDINBURG, TX 78539
Physician Assistant
5501 S MCCOLL RD
EDINBURG, TX 78539

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 Mahmod Sultan's NPI number?

The NPI number for Mahmod Sultan is 1164795852. It was assigned to this individual provider in the NPPES registry on February 11, 2012.

Where is Mahmod Sultan located?

Mahmod Sultan practices at 5501 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 362-2171.

What is Mahmod Sultan's specialty?

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

Is Mahmod Sultan enrolled in Medicare?

Yes. Mahmod Sultan 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 Mahmod Sultan accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Mahmod Sultan 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 Mahmod Sultan affiliated with any hospitals?

According to CMS data, Mahmod Sultan is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Mahmod Sultan was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.