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SYED JIBRAN HAIDER
NPI 1366096752
Student in an Organized Health Care Education/Training Program in Bowling Green, KY

Active since July 24, 2019PECOS Enrolled
250 PARK ST, BOWLING GREEN, KY 42101(270) 780-2693 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Syed Jibran Haider NPPES

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

SYED JIBRAN HAIDER (NPI 1366096752) is an individual student in an organized health care education/training program in Bowling Green, Kentucky and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366096752
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSYED JIBRAN HAIDER
Location Address250 PARK STBowling Green, KY 42101-1760
Mailing Address250 Park StBowling Green, KY 42101-1760 · (270) 780-2693
Phone(270) 780-2693
Sole ProprietorNo
Enumeration DateJuly 24, 2019
✔ NPI 1366096752 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.
250 PARK ST, Bowling Green, KY 42101
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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)

Syed Jibran Haider 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.

CHRISTIAN MICHAEL KRANZ CRNA
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 393-1912
MORTEZA KAVEH PHARMD
Pharmacist
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1000
DR. MARIO PEROZO MD
Student in an Organized Health Care Education/Training Program
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 796-6540
DR. DANIEL R LONG D.O.
Internal Medicine
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1000
MATTHEW DUANE HARMON CRNA
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 393-1912
COLE THOMAS WILKEN
Student in an Organized Health Care Education/Training Program
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 780-2680
MRS. SHELLIE D HARDCASTLE APRN
Nurse Practitioner (Family)
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1808
MRS. FRANCES DARLENE COLE KCSA
Specialist/Technologist, Other (Surgical Assistant)
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 781-4828

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 Syed Haider's NPI number?

The NPI number for Syed Haider is 1366096752. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Syed Haider located?

Syed Haider practices at 250 Park St, Bowling Green, KY 42101. The listed phone number is (270) 780-2693.

What is Syed Haider's specialty?

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

Is Syed Haider enrolled in Medicare?

Yes. Syed Haider is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Syed Haider was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.