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SUMAIRA FATIMA MD
NPI 1770427668
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Active since April 20, 2026PECOS Enrolled
1638 OWEN DR # 138, FAYETTEVILLE, NC 28304(910) 615-3780(910) 615-9907 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sumaira Fatima Md NPPES

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

SUMAIRA FATIMA MD (NPI 1770427668) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770427668
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUMAIRA FATIMACredential: MD
Location Address1638 OWEN DR # 138Fayetteville, NC 28304-3424
Mailing Address1638 Owen Dr # 138Fayetteville, NC 28304-3424 · (910) 615-3780 · Fax (910) 615-9907
Phone(910) 615-3780
Fax(910) 615-9907
Sole ProprietorNo
Enumeration DateApril 20, 2026
NPPES CertifiedApril 19, 2026
✔ NPI 1770427668 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.
1638 OWEN DR # 138, Fayetteville, NC 28304
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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)

Sumaira Fatima 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 7

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

SHREEBRIDHI PANDE MD
Student in an Organized Health Care Education/Training Program
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3780
DR. SAMANTHA LYNN HORVATH BRIDGES DO
Obstetrics & Gynecology
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4430
DR. MICHAEL JOSEPH KINGBERG DO
Emergency Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5095
DR. SCOTT SYNDERGAARD DO
Emergency Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4530
DR. JULIE PUZZO DO
Emergency Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5095
DR. CHRISTOPHER RYAN BENTON DO
Emergency Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4530
DR. MICHELLE BOYLSTON DO
Internal Medicine
1638 OWEN DR # 138
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4530

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 Sumaira Fatima's NPI number?

The NPI number for Sumaira Fatima is 1770427668. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Sumaira Fatima located?

Sumaira Fatima practices at 1638 Owen Dr # 138, Fayetteville, NC 28304. The listed phone number is (910) 615-3780.

What is Sumaira 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 Sumaira Fatima enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sumaira Fatima was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.