Syeda Qudsia-Fatima Khalid, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

64003 Issued in WI

Practice address

8375 S Howell Ave
Oak Creek, WI 53154-8344

Phone

(414) 764-5726

Fax

(414) 764-6954

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Syeda Qudsia Fatima Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: skhalid66969@direct.chw.org

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.

• Children'S Medical Group

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)
• Mendoza Medical Clinic

  • Pediatrics Physician
  • Kenner, LA
  • NPI 1073839759
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1710184080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654505",
            "telephone_number": "504-443-1744",
            "fax_number": "504-684-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548344",
            "telephone_number": "414-764-5726",
            "fax_number": "414-764-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "SYEDA",
        "middle_name": "QUDSIA-FATIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "64003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710184080",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYEDA",
            "last_name": "FATIMA",
            "middle_name": "QUDSIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Simrath Kaur
• Lauren Kayser, DPT
• China Kearney
• Krisitana Lynn Keeku
• Neeliya Kieu My Keophiphath
• Zahra Khalid
• Smriti S Khare, M.D.
• Jacob True King
• Morgan King, DPT
• Kiersten Kirking

• Pediatrics Physician in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.