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SIDRA MUKHTAR MD
NPI 1134970718
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since April 01, 2024PECOS Enrolled
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 266-1000 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sidra Mukhtar Md NPPES

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

SIDRA MUKHTAR MD (NPI 1134970718) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134970718
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSIDRA MUKHTARCredential: MD
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address5724 E Red Oak Dr Apt 10Sioux Falls, SD 57110-4024
Phone(260) 266-1000
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 30, 2024
✔ NPI 1134970718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sidra Mukhtar 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.

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.

AHMAD ALHARIRI MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-2020
DR. DANYELLE R ABER M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
AMY SOUERS M.D.
Emergency Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
ANDY ALVAREZ HERRERA MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620
CORISSA PIATKA
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
MRS. CHRISTINA KAY FORD PHARMD
Pharmacist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-4400
SYDNEY NICHOLE RANZAU
Specialist/Technologist (Athletic Trainer)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 266-1000
HINA WAZIR MD
Internal Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Allen County (260) 672-6620

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 Sidra Mukhtar's NPI number?

The NPI number for Sidra Mukhtar is 1134970718. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Sidra Mukhtar located?

Sidra Mukhtar practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-1000.

What is Sidra Mukhtar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sidra Mukhtar enrolled in Medicare?

Yes. Sidra Mukhtar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sidra Mukhtar was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.