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SIDRA KALSOOM MD
NPI 1275103186
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since July 01, 2021PECOS Enrolled
2409 CHERRY ST STE 100, TOLEDO, OH 43608(419) 251-3700 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2024, Jul 1, 2021 (2 updates tracked since 2021).

About Sidra Kalsoom Md NPPES

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

SIDRA KALSOOM MD (NPI 1275103186) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnstown.

NPPES Registry Identity

NPI1275103186
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSIDRA KALSOOMCredential: MD
Location Address2409 CHERRY ST STE 100Toledo, OH 43608-2670
Mailing Address2213 Cherry StToledo, OH 43608-2603 · (419) 251-3700
Phone(419) 251-3700
Sole ProprietorNo
Enumeration DateJuly 1, 2021
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1275103186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT222663 (PA)
2409 CHERRY ST STE 100, Toledo, OH 43608
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Secondary Practice Location 1

Location 11086 Franklin St, Dept of Medicine E-3Johnstown, PA 15905-1590 · Phone (814) 534-9104 · Fax (814) 534-3559

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 Kalsoom 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 5

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

FNU SALMAN M.D
Internal Medicine (Cardiovascular Disease)
2409 CHERRY ST STE 100
TOLEDO, OH 43608
Lucas County (419) 251-3711
SINAN ALO DO
Internal Medicine (Cardiovascular Disease)
2409 CHERRY ST STE 100
TOLEDO, OH 43608
Lucas County (419) 251-3700
TOLEDO CARDIOLOGY CONSULTANTS INC
Registered Nurse (Cardiac Rehabilitation)
2409 CHERRY ST STE 100
TOLEDO, OH 43608
Lucas County (419) 251-3711
WYNONA L BLAUSEY APRN
Nurse Practitioner (Gerontology)
2409 CHERRY ST STE 100
TOLEDO, OH 43608
Lucas County (419) 251-3700
MAJD KAYALI
Student in an Organized Health Care Education/Training Program
2409 CHERRY ST STE 100
TOLEDO, OH 43608
Lucas County (419) 251-3700

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 Kalsoom's NPI number?

The NPI number for Sidra Kalsoom is 1275103186. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Sidra Kalsoom located?

Sidra Kalsoom practices at 2409 Cherry St Ste 100, Toledo, OH 43608. The listed phone number is (419) 251-3700.

What is Sidra Kalsoom'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 Kalsoom enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sidra Kalsoom was last updated on August 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.