1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Hospitalist
  6. NPI Profile

NAYELAH SULTAN
NPI 1619339215
Hospitalist in Philadelphia, PA

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 662-2200 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2022, Oct 29, 2019, Mar 23, 2016 (3 updates tracked since 2016).

About Nayelah Sultan NPPES

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

NAYELAH SULTAN (NPI 1619339215) is an individual hospitalist provider in Philadelphia, Pennsylvania, licensed in Florida (ME157094) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of University Of Florida College Of Medicine (2016).

NPPES Registry Identity

NPI1619339215
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNAYELAH SULTAN
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing AddressPo Box 103204Gainesville, FL 32610-0001 · (352) 265-0651 · Fax (352) 265-0153
Phone(215) 662-2200
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1619339215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in FL · ME157094✔ Licensed in PA · MD464745
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 ME157094 (FL), MD464745 (PA)
3400 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Nayelah Sultan 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 ID7315277126
PECOS Enrollment IDI20220822000959
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 4

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 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.
422 services131 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.
71 services71 patients
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.
35 services16 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.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Referred Medical Equipment & Supplies CMS DME claims

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

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.83 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.

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
JENNIFER DEKERLEGAND
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3265

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 Nayelah Sultan's NPI number?

The NPI number for Nayelah Sultan is 1619339215. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Nayelah Sultan located?

Nayelah Sultan practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-2200.

What is Nayelah Sultan's specialty?

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

Is Nayelah Sultan enrolled in Medicare?

Yes. Nayelah 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 Nayelah Sultan accept?

Health plans from Molina Healthcare list Nayelah 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 Nayelah Sultan affiliated with any hospitals?

According to CMS data, Nayelah Sultan is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Nayelah Sultan was last updated on August 11, 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.