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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SADIA MUFTI MD
NPI 1245263656
Pediatrics in Yardley, PA

Active since July 09, 2006PECOS Enrolled
680 HEACOCK RD STE 200, YARDLEY, PA 19067(215) 493-6519(215) 493-6704 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Dec 1, 2021 (2 updates tracked since 2021).

About Sadia Mufti Md NPPES

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

SADIA MUFTI MD (NPI 1245263656) is an individual pediatrics provider in Yardley, Pennsylvania, licensed in Pennsylvania (MD429382) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245263656
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSADIA MUFTICredential: MD
Location Address680 HEACOCK RD STE 200Yardley, PA 19067-6346
Mailing Address101 E Olney Ave Ste 400Philadelphia, PA 19120-2470 · (215) 456-1825 · Fax (215) 456-5926
Phone(215) 493-6519
Fax(215) 493-6704
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1245263656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD429382
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
680 HEACOCK RD STE 200, Yardley, PA 19067
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19122 Frankford AvePhila, PA 19114-2860 · Phone (215) 331-1516 · Fax (215) 331-8149
Location 2295 Buck Rd Ste 106Southampton, PA 18966-1748 · Phone (215) 322-1919 · Fax (215) 322-2875

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sadia Mufti 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.

Medicare Billing Reassignment

Medicare enrollment records show Sadia Mufti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Einstein Community Health Associates, Inc
19 mi
Family Medicine
101 E OLNEY AVE, SUITE 400
Phila, PA 19120
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 289 clinicians in this Medicare group
NPI 1558316109 (215) 456-7000

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 19067 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS COYTE MD
Pediatrics
680 HEACOCK RD STE 200
YARDLEY, PA 19067
Bucks County (215) 493-6519
STC PEDIATRICS LLC
Pediatrics
680 HEACOCK RD STE 200
YARDLEY, PA 19067
Bucks County (215) 493-6519
KAVITA GUPTA-SHAH MD
Pediatrics
680 HEACOCK RD STE 200
YARDLEY, PA 19067
Bucks County (215) 493-6519

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 Sadia Mufti's NPI number?

The NPI number for Sadia Mufti is 1245263656. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Sadia Mufti located?

Sadia Mufti practices at 680 Heacock Rd Ste 200, Yardley, PA 19067. The listed phone number is (215) 493-6519.

What is Sadia Mufti's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sadia Mufti enrolled in Medicare?

Yes. Sadia Mufti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sadia Mufti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sadia Mufti reassigns Medicare benefits to Einstein Community Health Associates, Inc (Phila, PA). 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 Sadia Mufti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sadia Mufti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sadia Mufti 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 Sadia Mufti was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.