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FATIMA KHADAR NP
NPI 1265612725
Nurse Practitioner in Providence, RI

Active since November 13, 2007PECOS Enrolled
1070 N MAIN ST, PROVIDENCE, RI 02904(401) 454-3574(401) 455-3624 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fatima Khadar Np NPPES

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

FATIMA KHADAR NP (NPI 1265612725) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (NPP 37444) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265612725
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFATIMA KHADARCredential: NP
Location Address1070 N MAIN STProvidence, RI 02904-5709
Mailing Address1070 N Main StProvidence, RI 02904-5709 · (401) 455-3574 · Fax (401) 455-3624
Phone(401) 454-3574
Fax(401) 455-3624
Sole ProprietorYes
Enumeration DateNovember 13, 2007
Last NPPES UpdateJune 2, 2016
✔ NPI 1265612725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in RI · NPP 37444
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1070 N MAIN ST, Providence, RI 02904
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatima Khadar Np 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 Fatima Khadar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elite Medical Center LLC
2.9 mi
Primary Care
1515 SMITH ST STE A
North Providence, RI 02911
  • Reassigned Medicare billing, Rhode Island enrollment
  • 3 clinicians in this Medicare group
NPI 1902557366 (401) 490-9550

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 02904 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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 Fatima Khadar's NPI number?

The NPI number for Fatima Khadar is 1265612725. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Where is Fatima Khadar located?

Fatima Khadar practices at 1070 N Main St, Providence, RI 02904. The listed phone number is (401) 454-3574.

What is Fatima Khadar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Fatima Khadar enrolled in Medicare?

Yes. Fatima Khadar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fatima Khadar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatima Khadar reassigns Medicare benefits to Elite Medical Center LLC (North Providence, RI). 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 Fatima Khadar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fatima Khadar was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.