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SIDRA MUKHTAR KAMAL
NPI 1801789177
Speech-Language Pathologist in Ann Arbor, MI

Active since June 03, 2025
2900 GOLFSIDE DR STE 6, ANN ARBOR, MI 48108(734) 224-9121 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sidra Mukhtar Kamal NPPES

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

SIDRA MUKHTAR KAMAL (NPI 1801789177) is an individual speech-language pathologist provider in Ann Arbor, Michigan, licensed in Michigan (7152001176) and active in the NPI registry since June 2025. She maintains a secondary practice location in Dearborn and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801789177
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSIDRA MUKHTAR KAMAL
Location Address2900 GOLFSIDE DR STE 6Ann Arbor, MI 48108-1410
Mailing Address4620 Nutmeg DrYpsilanti, MI 48197-6827 · (248) 533-3433
Phone(734) 224-9121
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 3, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1801789177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7152001176
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2900 GOLFSIDE DR STE 6, Ann Arbor, MI 48108
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Secondary Practice Location 1

Location 15245 Schaefer Rd Ste DDearborn, MI 48126-3257 · Phone (734) 224-9121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sidra Mukhtar Kamal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264923697
PECOS Enrollment IDI20251113003653

Medicare Billing Reassignment

Medicare enrollment records show Sidra Kamal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Issa Speech Therapy PLLC
Same address
Speech-Language Pathologist
2900 GOLFSIDE DR STE 6
Ann Arbor, MI 48108
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
NPI 1770255382 (734) 224-9121

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 7

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

ISSA SPEECH THERAPY PLLC
Behavior Analyst
2900 GOLFSIDE DR STE 6
ANN ARBOR, MI 48108
Washtenaw County (734) 224-9121
SAYA SABRINA ALBONAIMI
Speech-Language Pathologist
2900 GOLFSIDE DR STE 6
ANN ARBOR, MI 48108
Washtenaw County (734) 224-9121
ALEKSANDRA TARASYEVA M.A., CCC-SLP
Speech-Language Pathologist
2900 GOLFSIDE DR STE 6
ANN ARBOR, MI 48108
Washtenaw County (734) 224-9121
ELIZABETH ZEHNDER
Speech-Language Pathologist
2900 GOLFSIDE DR STE 6
ANN ARBOR, MI 48108
Washtenaw County (734) 224-9121
ISSA SPEECH THERAPY PLLC
Speech-Language Pathologist
2900 GOLFSIDE DR STE 6
ANN ARBOR, MI 48108
Washtenaw County (734) 224-9121
LESLIE FORD MA, CCC-SLP
Speech-Language Pathologist
2900 GOLFSIDE DR STE 6
ANN ARBOR, MI 48108
Washtenaw County (734) 224-9121
REEM HAMAMI
Speech-Language Pathologist
2900 GOLFSIDE DR STE 6
ANN ARBOR, MI 48108
Washtenaw County (734) 224-9121

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 Sidra Kamal's NPI number?

The NPI number for Sidra Kamal is 1801789177. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Sidra Kamal located?

Sidra Kamal practices at 2900 Golfside Dr Ste 6, Ann Arbor, MI 48108. The listed phone number is (734) 224-9121.

What is Sidra Kamal's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Sidra Kamal enrolled in Medicare?

Yes. Sidra Kamal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sidra Kamal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sidra Kamal reassigns Medicare benefits to Issa Speech Therapy PLLC (Ann Arbor, MI). 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 Sidra Kamal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sidra Kamal accept?

Health plans from Priority Health list Sidra Kamal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sidra Kamal was last updated on June 3, 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.