Active NPI
Sara Waliuddin, M.D.
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD475339
- Practice address
- 1741 Frankford Ave Ste 100a
Philadelphia, PA 19125-2445 - Phone
- (215) 425-2424
- NPI assigned
- Apr 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD475339 | PA | Primary |
Addresses
Primary practice location
1741 Frankford Ave Ste 100a
Philadelphia, PA 19125-2445
Mailing address
6431 Fannin St Ste JJL 308S
Houston, TX 77030-1501
Phone (713) 500-7600
Other practice location 1
2301 E Allegheny Ave Ste 150
Philadelphia, PA 19134-4427
Phone (215) 926-3535
Other practice location 2
261 Old York Rd Ste 216
Jenkintown, PA 19046-3724
Phone (215) 884-3800
Other practice location 3
11000 Roosevelt Blvd Unit 360
Philadelphia, PA 19116-3961
Phone (215) 677-1475
Other practice location 4
2118 Cottman Ave
Philadelphia, PA 19149-1133
Phone (215) 342-3020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Suite 2230
Bettendorf, IA 52722-1644
Phone (563) 742-5150
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physician Inc. | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Temple Physicians Inc | Family Medicine | Current | Accepting new patients |
Locations
3415 53rd Ave
Bettendorf, IA 52722
Phone (563) 742-4350
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120
261 Old York Rd
Ste 216
Jenkintown, PA 19046
Phone (215) 884-3800
2118 Cottman Ave
Philadelphia, PA 19149
Phone (215) 342-3020
2301 E Allegheny Ave
Ste 150
Philadelphia, PA 19134
Phone (215) 926-3535
11000 Roosevelt Blvd
Unit 360
Philadelphia, PA 19116
Phone (215) 677-1475
Interoperability endpoints
- swaliuddin941580@direct.unitypoint.org
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.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1942444088
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
-
- Family Medicine Physician
- Flourtown, PA
- NPI 1952642936
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
dba UnityPoint Hospice
- Community Based Hospice Care Agency
- Moline, IL
- NPI 1639472178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1720512791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST STE JJL 308S",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 FRANKFORD AVE STE 100A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252445",
"telephone_number": "215-425-2424"
}
],
"practiceLocations": [
{
"address_1": "2301 E Allegheny Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191344427",
"country_code": "US",
"telephone_number": "215-926-3535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "261 Old York Rd Ste 216",
"address_purpose": "LOCATION",
"city": "Jenkintown",
"state": "PA",
"postal_code": "190463724",
"country_code": "US",
"telephone_number": "215-884-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11000 Roosevelt Blvd Unit 360",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191163961",
"country_code": "US",
"telephone_number": "215-677-1475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2118 Cottman Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191491133",
"country_code": "US",
"telephone_number": "215-342-3020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALIUDDIN",
"first_name": "SARA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-17",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD475339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.