SHUMAILA SULTAN MD
NPI 1942462734
Psychiatry & Neurology - Neurology in Morgantown, WV

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 STADIUM DR, MORGANTOWN, WV 26506(304) 598-6127 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2022, Jan 8, 2021, Oct 18, 2020 and 2 more (5 updates tracked since 2015).

About Shumaila Sultan Md NPPES

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

SHUMAILA SULTAN MD (NPI 1942462734) is an individual neurology provider in Morgantown, West Virginia, licensed in West Virginia (26555) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Wright State University Boonshoft School Of Medicine (2008).

NPPES Registry Identity

NPI1942462734
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHUMAILA SULTANCredential: MD
Location Address1 STADIUM DRMorgantown, WV 26506-7900
Mailing AddressPo Box 9180Morgantown, WV 26506-9180 · (304) 598-6127
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2008
Enumeration DateJuly 2, 2008
Last NPPES UpdateApril 8, 20225 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
NPI 1942462734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WV · 26555
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10032367 (TX)
1 STADIUM DR, Morgantown, WV 26506

Other Identifiers 1

Medicaid3810029608WV

Accepted 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

Shumaila Sultan Md 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 ID3678723434
PECOS Enrollment IDI20151110000680
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 9

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.

Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
60 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services36 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
44 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services21 patients
Injection of chemical for paralysis of nerve muscles on trunk, 1-5 muscles 64646
This procedure involves injecting a special chemical into 1-5 muscles in your body's trunk region. The chemical temporarily paralyzes these muscles, easing pain or discomfort. It's a safe, commonly performed process and any effects are usually temporary.
23 services11 patients

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$91.53 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.

Student in an Organized Health Care Education/Training Program
1 STADIUM DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 STADIUM DR
MORGANTOWN, WV 26506
Urology
1 STADIUM DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 STADIUM DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 STADIUM DR
MORGANTOWN, WV 26506
Technician/Technologist (Optician)
1 STADIUM DR
MORGANTOWN, WV 26506
Psychiatry & Neurology (Addiction Psychiatry)
1 STADIUM DR, HSC ROOM 4601
MORGANTOWN, WV 26506
Pharmacist
1 STADIUM DR
MORGANTOWN, WV 26506

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 Shumaila Sultan's NPI number?

The NPI number for Shumaila Sultan is 1942462734. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Shumaila Sultan located?

Shumaila Sultan practices at 1 Stadium Dr, Morgantown, WV 26506. The listed phone number is (304) 598-6127.

What is Shumaila Sultan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shumaila Sultan enrolled in Medicare?

Yes. Shumaila 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 Shumaila Sultan accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Shumaila 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 Shumaila Sultan affiliated with any hospitals?

According to CMS data, Shumaila Sultan is affiliated with West Virginia University Hospitals, Inc and United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for Shumaila Sultan was last updated on April 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.