Ayesha Khadeeruddin, is a medicare enrolled "Physician Assistant" physician in Dallas, Texas. She graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
1935 Medical District Dr, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 456-7000.
Ayesha Khadeeruddin is licensed to practice in Texas (license number PA19429) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376416255.
Physician's Profile
| Full Name | Ayesha Khadeeruddin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 1935 Medical District Dr, Dallas, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ayesha Khadeeruddin graduated from medical school in 2024
NPI Data:
- NPI Number: 1376416255
- Provider Enumeration Date: 09/26/2025
- Last Update Date: 01/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 4183100555
- Enrollment ID: I20260115002399
Medical Identifiers
Medical identifiers for Ayesha Khadeeruddin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376416255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0202X | Pediatrics - Pediatric Cardiology | PA19429 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA19429 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ayesha Khadeeruddin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ayesha Khadeeruddin,
7726 Temperance Dr,
Fayetteville, NC 28314-6359
Ph: () - | Ayesha Khadeeruddin,
1935 Medical District Dr,
Dallas, TX 75235-7701
Ph: (214) 456-7000 |
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