DIANE SIRAJUDEEN DNP, MSN
NPI 1497464911
Nurse Practitioner - Family in Philadelphia, PA
About Diane Sirajudeen Dnp, Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE SIRAJUDEEN DNP, MSN (NPI 1497464911) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (F11220761) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diane Sirajudeen Dnp, Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Diane Sirajudeen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 447 clinicians in this Medicare group
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 19111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
PHILADELPHIA, PA 19111
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 Diane Sirajudeen's NPI number?
The NPI number for Diane Sirajudeen is 1497464911. It was assigned to this individual provider in the NPPES registry on November 23, 2022.
Where is Diane Sirajudeen located?
Diane Sirajudeen practices at 333 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (215) 983-5187.
What is Diane Sirajudeen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Diane Sirajudeen enrolled in Medicare?
Yes. Diane Sirajudeen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Diane Sirajudeen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diane Sirajudeen reassigns Medicare benefits to 2 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA) and Temple Physicians Inc (Philadelphia, PA). Each 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 Diane Sirajudeen'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 Diane Sirajudeen was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Diane Sirajudeen, DNP, MSN · NPI 1497464911
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 23, 2022.
## Identity
- **NPI:** 1497464911 (Entity type: Individual)
- **Enumerated:** November 23, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F11220761 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 COTTMAN AVE, Philadelphia, PA 19111-2434
- **Phone:** (215) 983-5187
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Temple Faculty Practice Plan, Inc (NPI 1093298887, Philadelphia, PA); Temple Physicians Inc (NPI 1083888127, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497464911) · Data from the CMS NPPES public registry.