MRS. KAWANYA E MUHAMMAD (FNP-C) – Family Nurse Practitioner, NPI 1043592694
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KAWANYA E MUHAMMAD (FNP-C)
PO BOX 100
BEECH GROVE, IN 461070100
Phone: (317) 859-1090
Fax: (317) 941-7254
Type: Mailing
6745 GRAY RD STE D
INDIANAPOLIS, IN 462373236
Phone: (317) 859-1090
Fax: (317) 941-7254
Type: Location
2840 FORTUNE CIR W
INDIANAPOLIS, IN 462415505
Phone: (317) 781-3302
Fax: (317) 740-1018
Type: Location
12400 N MERIDIAN ST STE 160
CARMEL, IN 460324600
Phone: (317) 781-3302
Fax: (317) 740-1018
Type: Mailing
3725 WISH AVE
INDIANAPOLIS, IN 462683693
Phone: (317) 268-2273
Fax: (317) 322-4859
Type: Mailing
7145 E 21ST ST
INDIANAPOLIS, IN 462191715
Phone: (317) 268-2273
Fax: (317) 322-4859
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111017000388 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN |
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