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SAMUEL SULTAN M.D.
NPI 1497997837
Transplant Surgery in Hackensack, NJ

Active since March 31, 2009PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
20 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-2608 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2022, Jan 19, 2022, Oct 23, 2019 (3 updates tracked since 2019).

About Samuel Sultan M.d. NPPES

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

SAMUEL SULTAN M.D. (NPI 1497997837) is an individual transplant surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MA11131700) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of New York University School Of Medicine (2009).

NPPES Registry Identity

NPI1497997837
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameSAMUEL SULTANCredential: M.D.
Location Address20 PROSPECT AVEHackensack, NJ 07601-1997
Mailing Address20 Prospect AveHackensack, NJ 07601-1997 · (551) 996-2608
Phone(551) 996-2608
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2009
Enumeration DateMarch 31, 2009
Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1497997837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Licenses✔ Licensed in NJ · 25MA11131700✔ Licensed in NY · 261664
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 261664 (NY)
20 PROSPECT AVE, Hackensack, NJ 07601
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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

Samuel Sultan M.d. 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 ID4587963509
PECOS Enrollment IDI20220524000102
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services67 patients
Transplantation of donor kidney 50360
Transplantation of a donor kidney involves replacing a non-functioning kidney with a healthy one from a donor. This procedure can significantly improve the quality of life for those with serious kidney disease. The new kidney can perform the essential task of filtering blood and removing waste.
50 services50 patients
Preparation of donor kidney for transplantation 50323
Preparation of a kidney for transplantation involves careful evaluation of the donor organ. It includes checking for diseases, ensuring compatibility, and preserving the organ in a cold solution until transplantation. This process ensures the best outcome for the recipient.
40 services40 patients
Preparation of donor kidney and ureter for transplantation 50329
The preparation for a kidney transplant involves thoroughly examining the donor kidney and ureter. They are carefully preserved and cooled to slow down their metabolic rate. This helps maintain their function until they are transplanted into the recipient's body.
40 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services22 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.
19 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims18 services$6.56 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
4 suppliers105 claims60,900 services$1.00 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers124 claims16,440 services$0.35 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers156 claims40,020 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers105 claims12,338 services$0.20 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers179 claims37,200 services$0.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHRISTOPHER M. SHAARI M.D.
Otolaryngology
20 PROSPECT AVE, SUITE 712
HACKENSACK, NJ 07601
Bergen County (201) 342-8060
MS. ELIZABTH ANNE BILOTTI APN-BC
Nurse Practitioner (Adult Health)
20 PROSPECT AVE, THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.
HACKENSACK, NJ 07601
Bergen County (201) 996-5900
DR. JOSEPH B. GLOWACKI DO
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, STE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
Psychiatry & Neurology (Neurology)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-3205
JEROME F LEVINE M.D.
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Bergen County (201) 487-4088
MS. THERESA M GABAY APRN, BC
Nurse Practitioner (Family)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Bergen County (201) 996-5251
LISA HA
Nurse Practitioner (Acute Care)
20 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
THE CENTER FOR ADVANCED NEUROSURGERY, LLC
Neurological Surgery
20 PROSPECT AVE, SUITE 811
HACKENSACK, NJ 07601
Bergen County (201) 881-0700

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 Samuel Sultan's NPI number?

The NPI number for Samuel Sultan is 1497997837. It was assigned to this individual provider in the NPPES registry on March 31, 2009.

Where is Samuel Sultan located?

Samuel Sultan practices at 20 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (551) 996-2608.

What is Samuel Sultan's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Samuel Sultan enrolled in Medicare?

Yes. Samuel 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.

Is Samuel Sultan affiliated with any hospitals?

According to CMS data, Samuel Sultan is affiliated with Hackensack University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Sultan was last updated on February 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.