DR. ABDULRAHMAN KHALEDY SULTAN MD
NPI 1679682652
Internal Medicine in Los Angeles, CA

Active since August 30, 2006PECOS Enrolled
11706 DARLINGTON AVE APT 202, LOS ANGELES, CA 90049(310) 613-5566 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Abdulrahman Khaledy Sultan Md NPPES

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

DR. ABDULRAHMAN KHALEDY SULTAN MD (NPI 1679682652) is an individual internal medicine provider in Los Angeles, California, licensed in California (A62946) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679682652
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ABDULRAHMAN KHALEDY SULTANCredential: MD
Location Address11706 DARLINGTON AVE APT 202Los Angeles, CA 90049-5517
Mailing Address11706 Darlington Ave Apt 202Los Angeles, CA 90049-5517 · (310) 613-5566
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1679682652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A62946
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11706 DARLINGTON AVE APT 202, Los Angeles, CA 90049

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Abdulrahman Khaledy Sultan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Abdulrahman Khaledy Sultan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
18250 ROSCOE BLVD STE 200
Northridge, CA 91325
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90049 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Abdulrahman Khaledy Sultan's NPI number?

The NPI number for Abdulrahman Khaledy Sultan is 1679682652. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Abdulrahman Khaledy Sultan located?

Abdulrahman Khaledy Sultan practices at 11706 Darlington Ave Apt 202, Los Angeles, CA 90049. The listed phone number is (310) 613-5566.

What is Abdulrahman Khaledy Sultan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abdulrahman Khaledy Sultan enrolled in Medicare?

Yes. Abdulrahman Khaledy Sultan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abdulrahman Khaledy Sultan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdulrahman Khaledy Sultan reassigns Medicare benefits to El Proyecto Del Barrio, Inc. (Northridge, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdulrahman Khaledy Sultan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Abdulrahman Khaledy Sultan was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.