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DR. TIPU SULTAN M.D.
NPI 1629132683
Allergy & Immunology - Allergy in Florissant, MO

Active since December 21, 2006Opted out of Medicare · through Oct 1, 2026
11585 W FLORISSANT AVE, FLORISSANT, MO 63033(314) 921-5600(314) 921-8273 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tipu Sultan M.d. NPPES

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

DR. TIPU SULTAN M.D. (NPI 1629132683) is an individual allergy provider in Florissant, Missouri, licensed in Missouri (R7234) and active in the NPI registry since December 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629132683
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameDR. TIPU SULTANCredential: M.D.
Location Address11585 W FLORISSANT AVEFlorissant, MO 63033-6740
Mailing Address11585 W Florissant AveFlorissant, MO 63033-6740 · (314) 921-5600 · Fax (314) 921-8273
Phone(314) 921-5600
Fax(314) 921-8273
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629132683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in MO · R7234
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
11585 W FLORISSANT AVE, Florissant, MO 63033
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Other Identifiers 1

Medicare UPINA09796MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Tipu Sultan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 1998 through October 1, 2026.

Opt-Out Effective DateOctober 1, 1998
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Tipu Sultan's NPI number?

The NPI number for Tipu Sultan is 1629132683. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Tipu Sultan located?

Tipu Sultan practices at 11585 W Florissant Ave, Florissant, MO 63033. The listed phone number is (314) 921-5600.

What is Tipu Sultan's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Tipu Sultan enrolled in Medicare?

No. Tipu Sultan has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tipu Sultan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.