SULTAN SALEEM NIAZI D.O.
NPI 1396048666
Hospitalist in Modesto, CA

Active since December 08, 2010PECOS EnrolledAccepts Medicare Assignment
600 COFFEE RD, MODESTO, CA 95355(209) 521-6097 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2022, Apr 25, 2022 (2 updates tracked since 2022).

About Sultan Saleem Niazi D.o. NPPES

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

SULTAN SALEEM NIAZI D.O. (NPI 1396048666) is an individual hospitalist provider in Modesto, California, licensed in California (20A12281) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2008).

NPPES Registry Identity

NPI1396048666
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSULTAN SALEEM NIAZICredential: D.O.
Location Address600 COFFEE RDModesto, CA 95355-4201
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2008
Enumeration DateDecember 8, 2010
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1396048666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · 20A12281
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036.127901 (IL), 02006614A (IN), 21625 (NH), 25MB112887000 (NJ), 7434 (OK), OS022108 (PA), DO01091 (RI), 4471 (TN), 2022000980 (MO), 20A12281 (CA), T5767 (TX), DO.2595 (AL), C2-0024020 (DE)
600 COFFEE RD, Modesto, CA 95355

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

Sultan Saleem Niazi 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 ID749458693
PECOS Enrollment IDI20120920000775
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
276 services128 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
245 services156 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
107 services107 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
75 services50 patients
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.
50 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Hospitalist
600 COFFEE RD
MODESTO, CA 95355
Emergency Medicine
600 COFFEE RD
MODESTO, CA 95355
Podiatrist
600 COFFEE RD
MODESTO, CA 95355
Allergy & Immunology (Allergy)
600 COFFEE RD
MODESTO, CA 95355
Family Medicine
600 COFFEE RD
MODESTO, CA 95355
Internal Medicine
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355
Anesthesiology
600 COFFEE RD
MODESTO, CA 95355

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 Niazi's NPI number?

The NPI number for Sultan Niazi is 1396048666. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Sultan Niazi located?

Sultan Niazi practices at 600 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 521-6097.

What is Sultan Niazi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sultan Niazi enrolled in Medicare?

Yes. Sultan Niazi 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 Niazi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sultan Niazi 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.

When was this NPI record last updated?

The NPPES record for Sultan Niazi was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.