NPIMap

Individual provider Active NPI

Mohammed A.J. Sikder, M.D.

  • Nephrology Physician
  • Tucson, AZ
National Provider Identifier
1518963065
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20059 Issued in AZ
Practice address
2121 N Beverly Ave
Ste 105
Tucson, AZ 85712-2154
Phone
(520) 327-6265
Fax
(520) 327-9300
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20059 AZ Primary

Addresses

Primary practice location

2121 N Beverly Ave
Ste 105
Tucson, AZ 85712-2154

Mailing address

2121 N Beverly Ave
Ste 105
Tucson, AZ 85712-2154
Phone (520) 327-6265

Other identifiers 3

IdentifierTypeStateIssuer
AZ0889330OtherAZ BC/BS
016693-03MedicaidAZ
1Z2902OtherHEALTH NET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061227000346 AZ Practitioner - NephrologyPractitioner - Internal Medicine 2769439884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

1645 N Swan Rd
Tucson, AZ 85712-4046
Phone (520) 623-2642

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Sep 1, 2014 Accepting new patients
Southwest Kidney Institute Scottsdale LLC Nephrology CurrentSince Sep 1, 2014 Accepting new patients
Major Hospital Past Accepting new patients
Southwest Kidney Institute Vascular Center LLC Nephrology Past Accepting new patients

Locations

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

1645 N Swan Rd
Tucson, AZ 85712
Phone (520) 327-6265

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

Interoperability endpoints

  • Direct secure messaging: mohammed.sikder.1@2697.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1518963065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N BEVERLY AVE",
            "address_2": "STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122154",
            "telephone_number": "520-327-6265",
            "fax_number": "520-327-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N BEVERLY AVE",
            "address_2": "STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122154",
            "telephone_number": "520-327-6265",
            "fax_number": "520-327-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKDER",
        "first_name": "MOHAMMED",
        "middle_name": "A.J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "20059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BC/BS",
            "identifier": "AZ0889330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016693-03",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z2902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.