AQFA SULTANA
NPI 1700076940
Family Medicine - Adult Medicine in Jackson, MS

Q: What is Aqfa Sultana's NPI number?

The NPI number for Aqfa Sultana is 1700076940. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Q: What is Aqfa Sultana's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Aqfa Sultana was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment

3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 364-5142(601) 364-5159 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Aqfa Sultana NPPES

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

AQFA SULTANA (NPI 1700076940) is an individual adult medicine provider in Jackson, Mississippi, licensed in Mississippi (21234) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1700076940

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameAQFA SULTANA

Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454

Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 364-5142 · Fax (601) 364-5159

Phone(601) 364-5142

Fax(601) 364-5159

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 25, 2007

Last NPPES UpdateSeptember 23, 2020

NPPES CertifiedSeptember 23, 2020

✔ NPI 1700076940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in MS · 21234

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3502 W NORTHSIDE DR, Jackson, MS 39213

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Other Identifiers 2

Medicaid09964LA

Medicaid07331261MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan, Inc., UnitedHealthcare.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

Aqfa Sultana 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 ID9234311440

PECOS Enrollment IDI20110309000757

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier11 claims11 services$26.04 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.

MRS. TIFFANI RICCHELE MCKNIGHT

Social Worker (Clinical)