Individual provider Active NPI

Iram Sirajuddin, MD

  • Pediatric Allergy/Immunology Physician
  • Wichita, KS
National Provider Identifier
1386819738
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
04-34673 Issued in KS
Practice address
3243 E Murdock St
Suite #500
Wichita, KS 67208-3052
Phone
(316) 962-2080
Fax
(316) 962-2079
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X 04-34673 KS Primary

Addresses

Primary practice location

3243 E Murdock St
Suite #500
Wichita, KS 67208-3052

Mailing address

3243 E Murdock St
Suite #500
Wichita, KS 67208-3052
Phone (316) 962-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000848 KS Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 1557550118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Allergy/Immunology
Education
University of Missouri, Kansas City, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton County HospitalGroup PAC ID 5395644637, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

411 Sunset St
Elkhart, KS 67950-5001
Phone (620) 697-2141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-34673KSMDPediatric Allergy/Immunology Physician

Interoperability endpoints

  • Direct secure messaging: iram.sirajuddin@directsbamh.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1386819738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST",
            "address_2": "SUITE #500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083052",
            "telephone_number": "316-962-2080",
            "fax_number": "316-962-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST",
            "address_2": "SUITE #500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083052",
            "telephone_number": "316-962-2080",
            "fax_number": "316-962-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAJUDDIN",
        "first_name": "IRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "KS",
            "license": "04-34673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.