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SIDRA MEMON M.D.
NPI 1861196164
Internal Medicine - Rheumatology in Oklahoma City, OK

Active since March 29, 2023PECOS Enrolled
800 STANTON L YOUNG BLVD, AAT 6425, OKLAHOMA CITY, OK 73104(405) 271-6400 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2026, Jul 25, 2023, Mar 29, 2023 (3 updates tracked since 2023).

About Sidra Memon M.d. NPPES

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

SIDRA MEMON M.D. (NPI 1861196164) is an individual rheumatology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (47687) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861196164
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSIDRA MEMONCredential: M.D.
Location Address800 STANTON L YOUNG BLVD, AAT 6425Oklahoma City, OK 73104-5018
Mailing Address800 Stanton L Young Blvd, Aat 6425Oklahoma City, OK 73104-5018 · (405) 271-5545
Phone(405) 271-6400
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1861196164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in OK · 47687
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
800 STANTON L YOUNG BLVD, Oklahoma City, OK 73104
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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)

Sidra Memon M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ROHAN HYLTON
Anesthesiology
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
DR. JAKE LEE EVANS MD
Radiology (Diagnostic Radiology)
800 STANTON L YOUNG BLVD, AAT 6300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5963
MADISON RYANNE CRAFT MD
Orthopaedic Surgery
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (915) 783-8164
MACGREGOR THOMAS
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
DAVID SAN MARTIN
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
VIJAY RAJ
Student in an Organized Health Care Education/Training Program
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2316
MICHAEL TAYLOR HEATH MD
Surgery
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6308
DR. ILINA TERZIYSKI MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
800 STANTON L YOUNG BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8469

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 Memon's NPI number?

The NPI number for Sidra Memon is 1861196164. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Sidra Memon located?

Sidra Memon practices at 800 Stanton L Young Blvd Aat 6425, Oklahoma City, OK 73104. The listed phone number is (405) 271-6400.

What is Sidra Memon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sidra Memon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sidra Memon was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.