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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

UFAQ ISHTIAQ
NPI 1629656996
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Active since March 30, 2021PECOS Enrolled
1600 N GRAND AVE STE 140, PUEBLO, CO 81003(719) 564-1542(719) 544-2741 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2026, Aug 5, 2024, Jun 17, 2024 and 1 more (4 updates tracked since 2021).

About Ufaq Ishtiaq NPPES

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

UFAQ ISHTIAQ (NPI 1629656996) is an individual student in an organized health care education/training program in Pueblo, Colorado, licensed in Colorado (DR.0072460) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629656996
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameUFAQ ISHTIAQ
Location Address1600 N GRAND AVE STE 140Pueblo, CO 81003-2755
Mailing Address400 W 16th StPueblo, CO 81003-2745 · (719) 584-4000 · Fax (719) 544-2741
Phone(719) 564-1542
Fax(719) 544-2741
Sole ProprietorYes
Enumeration DateMarch 30, 2021
Last NPPES UpdateAugust 10, 20264 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1629656996 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
License✔ Licensed in CO · DR.0072460
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 DR-0072460 (CO)
1600 N GRAND AVE STE 140, Pueblo, CO 81003
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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)

Ufaq Ishtiaq 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 6

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

ANDREW BOULOS DO
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Pueblo County (719) 564-1542
WILLIAM BRADY ALLING
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Pueblo County (719) 564-1542
DR. KARAN JAGGI MD
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Pueblo County (719) 564-1542
POUDRE VALLEY MEDICAL GROUP, LLC
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Pueblo County (719) 564-1542
MEGAN CHRISTINE REICHMUTH D.O.
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Pueblo County (719) 564-1542
DR. AUSTIN RAY MITCHELL DO
Internal Medicine
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Pueblo County (719) 564-1542

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 Ufaq Ishtiaq's NPI number?

The NPI number for Ufaq Ishtiaq is 1629656996. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Ufaq Ishtiaq located?

Ufaq Ishtiaq practices at 1600 N Grand Ave Ste 140, Pueblo, CO 81003. The listed phone number is (719) 564-1542.

What is Ufaq Ishtiaq's specialty?

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

Is Ufaq Ishtiaq enrolled in Medicare?

Yes. Ufaq Ishtiaq is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ufaq Ishtiaq was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.