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NOOR FATIMA MD
NPI 1609560754
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 02, 2023PECOS Enrolled
2601 HOLME AVE, PHILADELPHIA, PA 19152(267) 350-7403(267) 350-7441 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Noor Fatima Md NPPES

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

NOOR FATIMA MD (NPI 1609560754) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609560754
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNOOR FATIMACredential: MD
Location Address2601 HOLME AVEPhiladelphia, PA 19152-2096
Mailing Address2601 Holme AvePhiladelphia, PA 19152-2096 · (267) 350-7403 · Fax (267) 350-7441
Phone(267) 350-7403
Fax(267) 350-7441
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1609560754 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.
2601 HOLME AVE, Philadelphia, PA 19152
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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)

Noor Fatima Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375088859
PECOS Enrollment IDI20260824004391
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 Noor Fatima reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lsu Health Sciences Center Shreveport Faculty Group Practice
1,165 mi
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
NPI 1013374222 (318) 626-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NAZERETH PHYSICIAN SERVICES INC
Registered Nurse (Wound Care)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6445
PATRICIA ELLEN RILEY MD
Physical Medicine & Rehabilitation
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6375
DELAWARE VALLEY PATHOLOGY CONSULTANTS, PA
Pathology (Clinical Pathology/Laboratory Medicine)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (610) 675-0113
NAZARETH PHYSICIAN SERVICES, INC.
Hospitalist
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6562
BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2601 HOLME AVE, MARIAN BLDG., GROUND FLOOR
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-0668
NOELLE AHMED
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6000
SARAH YASMIN ALEEM MD
Internal Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6051
NAZARETH PHYSICIAN SERVICES, INC.
Internal Medicine (Hematology & Oncology)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6141

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 Noor Fatima's NPI number?

The NPI number for Noor Fatima is 1609560754. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Noor Fatima located?

Noor Fatima practices at 2601 Holme Ave, Philadelphia, PA 19152. The listed phone number is (267) 350-7403.

What is Noor Fatima's specialty?

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

Is Noor Fatima enrolled in Medicare?

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

Which organization bills Medicare for Noor Fatima's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noor Fatima reassigns Medicare benefits to Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA). 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 Noor Fatima'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 Noor Fatima was last updated on June 2, 2023. 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.