AQFA SULTANA
NPI 1700076940
Family Medicine - Adult Medicine in Jackson, MS
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
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Aqfa Sultana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39213
- Reassigned Medicare billing, Mississippi enrollment
- 69 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 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.
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.
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.
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
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 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.
Where is Aqfa Sultana located?
Aqfa Sultana practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 364-5142.
What is Aqfa Sultana's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Aqfa Sultana enrolled in Medicare?
Yes. Aqfa Sultana 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.
Which organization bills Medicare for Aqfa Sultana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aqfa Sultana reassigns Medicare benefits to Central Mississippi Civic Improvement Association, Inc (Jackson, MS). 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 Aqfa Sultana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Aqfa Sultana accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Aqfa Sultana 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.
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 6 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.
# Aqfa Sultana · NPI 1700076940
Adult Medicine physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 25, 2007.
## Identity
- **NPI:** 1700076940 (Entity type: Individual)
- **Enumerated:** July 25, 2007
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **State license:** 21234 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 3502 W NORTHSIDE DR, Jackson, MS 39213-4454
- **Phone:** (601) 364-5142 · **Fax:** (601) 364-5159
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Central Mississippi Civic Improvement Association, Inc (NPI 1134151442, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** September 23, 2020
- **Other identifiers:** Medicaid 09964 (LA); Medicaid 07331261 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1700076940) · Data from the CMS NPPES public registry.