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MUFADDAL DIWAN MD
NPI 1598567125
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Active since March 25, 2025PECOS Enrolled
1415 E KINCAID ST, MOUNT VERNON, WA 98274(360) 428-2592 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mufaddal Diwan Md NPPES

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

MUFADDAL DIWAN MD (NPI 1598567125) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598567125
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMUFADDAL DIWANCredential: MD
Location Address1415 E KINCAID STMount Vernon, WA 98274-4126
Mailing Address1415 E Kincaid StMount Vernon, WA 98274-4126 · (360) 428-2592
Phone(360) 428-2592
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1598567125 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.
1415 E KINCAID ST, Mount Vernon, WA 98274
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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)

Mufaddal Diwan 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 20

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

AMREEN KAUR
Internal Medicine
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
CASCADE IMAGING ASSOCIATES L.L.C.
Clinic/Center (Magnetic Resonance Imaging (MRI))
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111
DR. DANA STURTZ DPT, GCS
Physical Therapist
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2184
DR. ALLAN MICHAEL DAMIAN M.D.
Psychiatry & Neurology (Sleep Medicine)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2550
DR. PRAVEENA THAMMIREDDY MBBS
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
GLEN MARK SUMAGIT
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2115
PACIFIC NORTHWEST PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (877) 425-8646
PUBLIC HOSPITAL DIST NO 1 SKAGIT
General Acute Care Hospital
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111

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 Mufaddal Diwan's NPI number?

The NPI number for Mufaddal Diwan is 1598567125. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Mufaddal Diwan located?

Mufaddal Diwan practices at 1415 E Kincaid St, Mount Vernon, WA 98274. The listed phone number is (360) 428-2592.

What is Mufaddal Diwan's specialty?

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

Is Mufaddal Diwan enrolled in Medicare?

Yes. Mufaddal Diwan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mufaddal Diwan was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.