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DR. SULTAN QIBLAWI MD, MBA
NPI 1346821964
Dermatology in Livonia, MI

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
14700 FARMINGTON RD STE 105, LIVONIA, MI 48154(734) 361-2191(734) 361-9701 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sultan Qiblawi Md, Mba NPPES

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

DR. SULTAN QIBLAWI MD, MBA (NPI 1346821964) is an individual dermatology provider in Livonia, Michigan, licensed in Wisconsin (83060) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1346821964
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. SULTAN QIBLAWICredential: MD, MBA
Location Address14700 FARMINGTON RD STE 105Livonia, MI 48154-5434
Mailing Address600 Highland AveMadison, WI 53792-0001 · (608) 287-2620
Phone(734) 361-2191
Fax(734) 361-9701
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1346821964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WI · 83060
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
14700 FARMINGTON RD STE 105, Livonia, MI 48154
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Secondary Practice Location 1

Location 1752 N High Point RdMadison, WI 53717-2236 · Phone (608) 824-4000 · Fax (608) 824-4949

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Sultan Qiblawi Md, Mba 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 ID2567843857
PECOS Enrollment IDI20250923004223, I20250924002128
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 2

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

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48154 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 4

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

BASHAR YALLDO MD PLC
Family Medicine
14700 FARMINGTON RD STE 105
LIVONIA, MI 48154
Wayne County (248) 330-7098
SUMMIT DERMATOLOGY PLLC
Dermatology
14700 FARMINGTON RD STE 105
LIVONIA, MI 48154
Wayne County (734) 361-2191
SKYE ACHO
Nurse Practitioner (Family)
14700 FARMINGTON RD STE 105
LIVONIA, MI 48154
Wayne County (240) 330-7098
ITEST HEALTH PLC
Family Medicine
14700 FARMINGTON RD STE 105
LIVONIA, MI 48154
Wayne County (248) 330-7098

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 Sultan Qiblawi's NPI number?

The NPI number for Sultan Qiblawi is 1346821964. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Sultan Qiblawi located?

Sultan Qiblawi practices at 14700 Farmington Rd Ste 105, Livonia, MI 48154. The listed phone number is (734) 361-2191.

What is Sultan Qiblawi's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sultan Qiblawi enrolled in Medicare?

Yes. Sultan Qiblawi 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 Sultan Qiblawi accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sultan Qiblawi 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 Sultan Qiblawi affiliated with any hospitals?

According to CMS data, Sultan Qiblawi is affiliated with Ssm Health St Clare Hospital - Baraboo and Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Sultan Qiblawi was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.