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INDIANA DIABETES & ENDOCRINOLOGY
NPI 1811558414
Internal Medicine - Endocrinology, Diabetes & Metabolism in Indiana, PA

Active since June 25, 2019CLIA 39D1089042 · Waiver
1265 WAYNE AVE STE 103, INDIANA, PA 15701(724) 463-1048(724) 463-1049 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2020, Sep 5, 2019 (2 updates tracked since 2019).

About Indiana Diabetes & Endocrinology NPPES

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

INDIANA DIABETES & ENDOCRINOLOGY (NPI 1811558414) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Indiana, Pennsylvania and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through September 9, 2028 and lists Mushtaq A Syed, Physician, as its authorized official.

NPPES Registry Identity

NPI1811558414
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameINDIANA DIABETES & ENDOCRINOLOGY
Location Address1265 WAYNE AVE STE 103Indiana, PA 15701-3501
Mailing Address1265 Wayne Ave Ste 103Indiana, PA 15701-3501 · (724) 463-1048 · Fax (724) 463-1049
Phone(724) 463-1048
Fax(724) 463-1049
Organization SubpartNo
Authorized OfficialMushtaq A SyedPhysician · (724) 463-1048
Enumeration DateJune 25, 2019
Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1811558414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1265 WAYNE AVE STE 103, Indiana, PA 15701
Open in Google Maps ↗

Other Names 1

Doing Business AsIndiana Diabetes & Endocrinology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indiana Diabetes & Endocrinology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Indiana Diabetes & Endocrinology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Allison Matava, CRNP
Nurse Practitioner
NPI 1790513091
1265 WAYNE AVE STE 103
Indiana, PA 15701
(724) 463-1048
✔ PECOS✔ Accepts MedicareSame address
Mushtaq Syed, MD
Internal Medicine
NPI 1649230855
1265 WAYNE AVE STE 103
Indiana, PA 15701
(724) 463-1048
✔ PECOS✔ Accepts MedicareSame address
Annette Kubalek
Nurse Practitioner
NPI 1376089334
1265 WAYNE AVE STE 103
Indiana, PA 15701
(724) 463-1048
✔ PECOS✔ Accepts Medicare0.2 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1089042

Indiana Diabetes & Endocrinology · Indiana, PA
Active · expires Sep 9, 2028
CLIA Number39D1089042
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2026
Certificate Expiration DateSeptember 9, 2028
Laboratory DirectorDr. Mushtaq A. Syed
Laboratory Phone(724) 463-1048
Laboratory LocationIndiana Diabetes & Endocrinology1265 Wayne Ave, Ste 103, Indiana, PA 15701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Indiana Diabetes & Endocrinology's NPI number?

The NPI number for Indiana Diabetes & Endocrinology is 1811558414. It was assigned to this organization in the NPPES registry on June 25, 2019.

Where is Indiana Diabetes & Endocrinology located?

Indiana Diabetes & Endocrinology is located at 1265 Wayne Ave Ste 103, Indiana, PA 15701. The listed phone number is (724) 463-1048.

What is Indiana Diabetes & Endocrinology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Indiana Diabetes & Endocrinology enrolled in Medicare?

Yes. Indiana Diabetes & Endocrinology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indiana Diabetes & Endocrinology?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Indiana Diabetes & Endocrinology, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Indiana Diabetes & Endocrinology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1089042) is associated with this NPI, valid through September 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Indiana Diabetes & Endocrinology accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Indiana Diabetes & Endocrinology 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 Indiana Diabetes & Endocrinology was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.