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SOFIA AHSANUDDIN MD
NPI 1194573592
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 09, 2024PECOS Enrolled
1000 WALL ST, ANN ARBOR, MI 48105(734) 763-8122 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, May 9, 2024 (2 updates tracked since 2024).

About Sofia Ahsanuddin Md NPPES

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

SOFIA AHSANUDDIN MD (NPI 1194573592) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351052336) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194573592
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOFIA AHSANUDDINCredential: MD
Location Address1000 WALL STAnn Arbor, MI 48105-1912
Mailing Address1000 Wall StAnn Arbor, MI 48105-1912 · (734) 763-8122
Phone(734) 763-8122
Sole ProprietorNo
Enumeration DateMay 9, 2024
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1194573592 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
License✔ Licensed in MI · 4351052336
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.

1000 WALL ST, Ann Arbor, MI 48105
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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)

Sofia Ahsanuddin 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.

SHERRY H DAY OD
Optometrist
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
MONTE ANTHONY DELMONTE MD
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
MATTHEW DRIBAN MD
Student in an Organized Health Care Education/Training Program
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 763-8122
CHERIE A FARKASH OD
Optometrist
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
BRITTANY A SIMMONS M.D.
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
ALEXANDER DOMINIC VALENTINE MD
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
CYNTHIA JIANG HODSON MD
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190
SEAN OWEN HANSEN MD
Ophthalmology
1000 WALL ST
ANN ARBOR, MI 48105
Washtenaw County (734) 764-4190

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 Sofia Ahsanuddin's NPI number?

The NPI number for Sofia Ahsanuddin is 1194573592. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Sofia Ahsanuddin located?

Sofia Ahsanuddin practices at 1000 Wall St, Ann Arbor, MI 48105. The listed phone number is (734) 763-8122.

What is Sofia Ahsanuddin's specialty?

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

Is Sofia Ahsanuddin enrolled in Medicare?

Yes. Sofia Ahsanuddin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sofia Ahsanuddin was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.